Vatistas N J, Pascoe J R, Wright I M, Dyson S J, Mayhew I G
Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis 95616, USA.
J Am Vet Med Assoc. 1996 May 1;208(9):1434-7.
To determine the clinical outcome of horses treated for infection of the intertubuercular bursa (infectious bicipital bursitis).
Retrospective analysis of case records.
Four horses referred for treatment of infectious bicipital bursitis.
Medical records of horses that were severely lame on admission were reviewed.
In 3 horses, palpation over the bicipital bursa as well as flexion and extension of the scapulohumeral joint were resented. Ultrasonography performed in 1 horse revealed that the bicipital bursa was large and that excessive amounts of fluid containing hyperechoic material were evident within the bicipital bursa. Two horses were treated by the administration of antimicrobial and nonsteroidal antiinflammatory drugs. Both remained lame and failed to resume their former activity. Two horses additionally were treated surgically by means of a partial synovectomy. Both resumed their former activity although a subtle lameness remained in 1 horse.
Partial synovectomy may be useful in the treatment of horses with infectious bicipital bursitis.
确定接受治疗的结节间滑囊感染(感染性肱二头肌滑囊炎)马匹的临床结局。
病例记录的回顾性分析。
四匹因感染性肱二头肌滑囊炎转诊治疗的马匹。
对入院时严重跛行的马匹病历进行审查。
3匹马出现肱二头肌滑囊触诊以及肩胛肱关节屈伸反应。对1匹马进行超声检查发现肱二头肌滑囊肿大,肱二头肌滑囊内可见大量含有高回声物质的液体。2匹马接受抗菌药物和非甾体抗炎药治疗。二者均仍有跛行,未能恢复至先前的活动水平。另外2匹马接受了部分滑膜切除术。二者均恢复至先前的活动水平,尽管其中1匹马仍有轻微跛行。
部分滑膜切除术可能对治疗感染性肱二头肌滑囊炎的马匹有用。