2015
DOI: 10.1111/eve.12313
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Infraspinatus and intertubercular (bicipital) bursae sepsis

Abstract: The case report by O'Sullivan et al. in this month's issue of EVE describes an unusual case of synovial sepsis raising interesting points on synovial infection in general and more specifically the implication of haematogenous spread of bacteria from a remote site in the mature horse. The identification of synovial sepsis in this location is challenging due to the complex and unfamiliar anatomy in the shoulder region. This clinical commentary reviews the anatomy in this region and discusses the unusual presenta… Show more

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Cited by 2 publications
(2 citation statements)
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References 22 publications
(48 reference statements)
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“…This partially fenestrated capillary network [44] is suspected to be the site of entry in synovial sepsis of haematogenous origin (S type) in foals [45] and the adult horse, particularly if vasculitis is present. Synovitis due to preexisting intrasynovial or perisynovial pathology may act as a predisposing factor for microbial invasion through this capillary network, into a synovial structure [46][47][48]. Case 6 of the present study demonstrated a lateral suspensory ligament branch insertional avulsion injury, and there was no evidence that this acted as a primary septic focus.…”
Section: Mechanisms Of Synovial Invasionmentioning
confidence: 82%
“…This partially fenestrated capillary network [44] is suspected to be the site of entry in synovial sepsis of haematogenous origin (S type) in foals [45] and the adult horse, particularly if vasculitis is present. Synovitis due to preexisting intrasynovial or perisynovial pathology may act as a predisposing factor for microbial invasion through this capillary network, into a synovial structure [46][47][48]. Case 6 of the present study demonstrated a lateral suspensory ligament branch insertional avulsion injury, and there was no evidence that this acted as a primary septic focus.…”
Section: Mechanisms Of Synovial Invasionmentioning
confidence: 82%
“…Among the pathologies encountered at the distal level of the scapula and the proximal humeral part, nowadays the veterinary pathology literature mentions the following commonly encountered conditions [ 14 ]: Osteoarthritis and osteochondritis of the shoulder joint [ 15 ]; Fractures and other mechanical injuries, muscular atrophy, most frequently of secondary origin -the sweeny shoulder [ 16 ]; The infraspinate tendon and its bursa [ 17 , 18 ]; Intertubercular (bicipital) bursitis [ 19 ]. …”
Section: Introductionmentioning
confidence: 99%