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Peer-reviewed veterinary case report

Lameness associated with the bicipital bursa in an Arab stallion.

Journal:
The Veterinary record
Year:
1999
Authors:
Booth, T M
Affiliation:
University of Liverpool Large Animal Hospital · United Kingdom
Species:
horse

Plain-English summary

A five-year-old Arab stallion was suffering from severe lameness in his left front leg for a long time. Tests, including local anesthesia and imaging scans, showed that the problem was in a small fluid-filled sac called the bicipital bursa, which helps reduce friction in the shoulder area. Further examinations revealed new bone growth and changes in the soft tissues around the bursa and tendon. Unfortunately, despite efforts to diagnose the issue, the stallion was euthanized, and an examination after death showed significant damage and inflammation in the bursa, confirming a diagnosis of chronic fibrinous bursitis (long-term inflammation of the bursa).

Abstract

Severe, chronic lameness in the left forelimb of a five-year-old Arab stallion was localised to the bicipital bursa by local anaesthesia and gamma scintigraphy. Radiographic and ultrasonographic examinations of the proximal humeral tubercles and bicipital bursa revealed new bone production in the region of the intertubercular grooves and irregularities in the density of the soft tissues of the bicipital tendon and bursa. An endoscopic examination of the bicipital bursa with a standard arthroscope under general anaesthesia was a useful diagnostic procedure. The stallion was euthanased, and marked fibrocartilage fibrillation and formation of adhesions were found postmortem, confirming a diagnosis of chronic fibrinous bursitis.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/10501584/