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Lameness of the Proximal Limb 655
Prognosis 15. Bleyaert HF, Madison JB. Complete biceps brachii tenotomy to
facilitate internal fixation of supraglenoid tubercle fractures in
A good prognosis for return to performance can be
three horses. Vet Surg 1999;28:48–53.
VetBooks.ir expected for conservative management of horses that 16. Bleyaert H, Sullins K, White N. Supraglenoid tubercle fractures in
horses. Contin Educ Vet Pract 1994;16:531–536.
have nonarticular fractures or minimally displaced
17. Bohn A, Papageorges M, Grant BD. Ultrasonographic evaluation
articular fractures of the SGT. The prognosis for return
16
to athletic soundness is poor for conservative manage- and surgical treatment of humeral osteitis and bicipital tenosyno-
vitis in a horse. J Am Vet Med Assoc 1992;201:305–306.
ment of horses that sustain simple or comminuted 18. Bosch G, de Mos M, van Binsbergen R, et al. The effect of focused
displaced articular fractures, but pasture soundness is extracorporeal shock wave therapy on collagen matrix and gene
expression in normal tendons and ligaments. Equine Vet J
possible in some. 15,37 2009;41:335–341.
The prognosis following surgical excision of the frac- 19. Boswell JC, Schramme MC, Wilson AM, et al. Radiological study
tured SGT is better than that achieved with conservative to evaluate suspected scapulohumeral joint dysplasia in Shetland
management for return to performance in horses with ponies. Equine Vet J 1999;31:510–514.
displaced simple or comminuted articular fractures and 20. Bukowiecki CF, van Fe RT, Schneiter HL. Internal fixation of
comminuted transverse scapular fracture in a foal. J Am Vet Med
for chronic articular fractures. 16,37,75,98 In one report, 4 of Assoc 1989;195:781–783.
7 horses treated with surgical excision of the fractured 21. Carmona JU, López C. Autologous platelet concentrates as a treatment
tubercle returned to performance, including one racing for shoulder injury in a horse. J Equine Vet Sci 2011;31:506–510.
Thoroughbred that had a successful career at a reduced 22. Clegg PD, Dyson SJ, Summerhays GE, et al. Scapulohumeral oste-
oarthritis in 20 Shetland ponies, miniature horses and falabella
performance level. 16 ponies. Vet Rec 2001;148:175–179.
Presently the prognosis for internal fixation appears 23. Colbourne C, Yovich J, Bolton J. The diagnosis and successful
best if a combination of internal fixation and com- treatment of shoulder luxation in a pony. Aust Equine Vet
1991;9:100–102.
plete transection of the biceps brachii tendon is used 24. Cole R, Schumacher J, Wilhite R, et al. Extension of the scapulo-
for simple acute fractures. 2,16,27 In one report, 3 of 3 humeral joint increases the likelihood of success of centesis of the
horses treated by this method were sound for their bursa of the biceps brachii tendon of horses. Equine Vet Educ
intended use. 16 2014;26:93–97.
25. Coudry V, Allen AK, Denoix JM. Congenital abnormalities of the
bicipital apparatus in four mature horses. Equine Vet J
2005;37:272–275.
ACKNOWLEDGMENT 26. Crabill MR, Chaffin MK, Schmitz DG. Ultrasonographic mor-
phology of the bicipital tendon and bursa in clinically normal
The authors thank Dr. Ted S. Stashak for his contribu- quarter horses. Am J Vet Res 1995;56:5–10.
tions to this chapter in the previous edition. 27. Dart AJ, Snyder JR. Repair of a supraglenoid tuberosity fracture
in a horse. J Am Vet Med Assoc 1992;201:95–96.
28. Davidson EJ, Martin BB. Stress fracture of the scapula in two
horses. Vet Radiol Ultrasound 2004;45:407–410.
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