Bilateral bicipital bursitis in a cow

Area of Science:

• Veterinary Medicine
• Bovine Surgery
• Equine Lameness

Background:

• Bicipital bursitis is an inflammation of the bursa located between the biceps brachii tendon and the humerus.
• Forelimb lameness in cattle can significantly impact mobility and welfare.
• Accurate diagnosis and effective treatment are crucial for successful outcomes.

Observation:

• A 5-year-old Ayrshire cow presented with severe, chronic (6 weeks) forelimb lameness.
• Physical examination revealed bilateral bicipital bursitis.
• Synovial fluid analysis indicated nonseptic inflammation.

Findings:

• Conservative management including stall confinement and nonsteroidal anti-inflammatory drugs (NSAIDs) was initiated.
• A single intrabursal injection containing methylprednisolone, sodium hyaluronate, and gentamicin sulfate was administered.
• Lameness resolved within 7 days following treatment.

Implications:

• This case highlights a successful multimodal treatment approach for bilateral bicipital bursitis in cattle.
• Early diagnosis and intervention can lead to rapid recovery and long-term resolution.
• The combination therapy proved effective in managing nonseptic bursitis, offering a potential treatment strategy for similar cases.