Bilateral bicipital bursitis in a cow

A 5-year-old Ayrshire cow with severe forelimb lameness of 6 weeks' duration was determined to have bilateral bicipital bursitis. Results of synovial fluid analyses were compatible with nonseptic bursitis. The cow's lameness resolved in 7 days after box stall confinement, parenteral treatment with nonsteroidal anti-inflammatory drugs, and a single intrabursal injection of a combination of methylprednisolone, sodium hyaluronate, and gentamicin sulfate. Lameness had not recurred during the 22 months since discharge.