Ultrasound-guided, minimally invasive, biceps brachii tenotomy in a standing horse.

IF 1.3 2区农林科学 Q2 VETERINARY SCIENCES

Veterinary Surgery Pub Date : 2025-09-11 DOI:10.1111/vsu.70017

Guilherme F Marques, Valerie J Moorman, Katie L Ellis, Michael Perlini, Veronica L Edwards

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引用次数: 0

Abstract

Objective: To describe the long-term outcome of a horse that underwent a standing, ultrasound-guided, minimally invasive, biceps brachii tenotomy.

Study design: Case report.

Animal: A 17-year-old Tennessee Walking Horse gelding.

Methods: The horse had a chronic, severe, lameness localized to the left shoulder region. Diagnostic imaging revealed fractures of the intermediate and lesser tubercles of the left humerus, biceps brachii (BB) tendinopathy, and bicipital bursitis. Conservative management was attempted, but lack of improvement prompted surgical intervention. An ultrasound-guided, minimally invasive, BB tenotomy was performed under standing sedation and local anesthesia.

Results: Immediately following the procedure, a substantial improvement in lameness was achieved. Further case management consisted of systemic and local pain management, physiotherapy exercises, and periodic local corticosteroid injections. At 21 months following surgery, the horse remained pasture sound.

Conclusion: An ultrasound-guided, minimally invasive, approach for biceps brachii tenotomy was simple to perform and resulted in rapid improvement in lameness. There were no incisional complications and long-term pasture soundness was achieved.

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超声引导下，微创，站立马肱二头肌肌腱切断术。

目的：描述马接受站立，超声引导，微创，肱二头肌肌腱切断术的长期结果。研究设计：病例报告。动物：一匹17岁的田纳西州行走马。方法：马有一个慢性，严重，跛足局部左肩区域。诊断影像显示左肱骨中、小结节骨折、肱二头肌（BB）肌腱病变和肱滑囊炎。我们曾尝试保守治疗，但由于缺乏改善，需要手术干预。超声引导下，微创，在站立镇静和局部麻醉下进行BB肌腱切断术。结果：手术后，跛行得到了显著改善。进一步的病例管理包括全身和局部疼痛管理、物理治疗练习和定期局部皮质类固醇注射。手术后21个月，这匹马保持了牧场的健康。结论：超声引导下的微创肱二头肌肌腱切断术操作简单，可快速改善跛行。无切口并发症，牧场长期健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Veterinary Surgery 农林科学-兽医学

CiteScore

3.40

自引率

22.20%

发文量

162

审稿时长

8-16 weeks

期刊介绍： Veterinary Surgery, the official publication of the American College of Veterinary Surgeons and European College of Veterinary Surgeons, is a source of up-to-date coverage of surgical and anesthetic management of animals, addressing significant problems in veterinary surgery with relevant case histories and observations. It contains original, peer-reviewed articles that cover developments in veterinary surgery, and presents the most current review of the field, with timely articles on surgical techniques, diagnostic aims, care of infections, and advances in knowledge of metabolism as it affects the surgical patient. The journal places new developments in perspective, encompassing new concepts and peer commentary to help better understand and evaluate the surgical patient.