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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.
             References                                          29.  DeBowes R, Wagner D, Grant B. Surgical approach to the equine
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