ISSN 2398-2969      

Bicipital tenosynovitis

icanis
Contributor(s):

Joseph Harari


Introduction

  • Cause: ?trauma (often repetitive), ?degenerative joint disease (DJD) secondary toosteochondrosis osteochondrosis (OCD), idiopathic.
  • Incidence: older, medium to large breeds - dogs which lead active lives.
  • Signs: forelimb lameness which deteriorates with excessive exercise but improves with rest.
  • Diagnosis: difficult; radiographic changes are secondary.
  • Treatment: depends on severity of lameness and response to initial conservative therapy.
  • Prognosis: fair.

Pathogenesis

Etiology

  • ?Trauma - often of a repetitive nature (tendon strain, rupture).
  • ?Degenerative joint disease (DJD) Arthritis: osteoarthritis - adhesions form between tendon and joint capsule in region of intertubercular groove.
  • Entrapment of joint mice (following osteochondrosis).
  • Idiopathic.

Pathophysiology

  • Inflammation of biceps brachii tendon.
  • Onset of lameness may be acute, following a particularly active period of exercise, eg digging, scrambling up steep banks.
  • Lameness may be insidious/chronic.
  • Pain evident on manipulation of shoulder: flexion/full extension/direct pressure applied to tendon.
  • New bone deposition within intertubercular groove/mineralization within tendon of supraspinatus muscle - ?significant.

Diagnosis

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Treatment

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Outcomes

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Davidson E B, Griffey S M et al (2000) Histopathological, radiographic and arthrographic comparisons of the biceps tendon in normal dogs and dogs with biceps tenosynovitis. JAAHA 36 (6), 522-530 VetMedResource.
  • Bardet J F (1999) Lesions of the biceps tendon - diagnosis and classification. A retrospective study of 25 cases in 23 dogs and one cat. Vet Comp Ortho Traum 12 (4), 188-195 VetMedResource.
  • Stobie D, Wallace L J, Lipowitz A J, King V & Lund E M (1995) Chronic bicipital tenosynovitis in dogs - 29 cases (1985-1992). JAVMA 207 (2), 201-7 PubMed.

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