BursaBursa

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Dr. Nimer Khraim Dr. Nimer Khraim

DVMS, BVMS, MVScDVMS, BVMS, MVSc

BursaBursa

• Anatomical bursa true bursaAnatomical bursa true bursa

• Pathological bursa Pathological bursa

BursaBursa

Anatomical bursa Anatomical bursa

• Are CT sac lined by secretory Are CT sac lined by secretory endothelium of synovial membraneendothelium of synovial membrane

• containing a viscous fluid and containing a viscous fluid and synoviam synoviam

BursaBursa

• They are situated between moving They are situated between moving partsparts

• So the bursa serves to reduce friction So the bursa serves to reduce friction

between these moving partsbetween these moving parts

• such as tendons, ligaments and such as tendons, ligaments and muscle and between bony prominence muscle and between bony prominence

BursaBursa

Acquired bursaAcquired bursa

• Situated between the skin and bony Situated between the skin and bony prominence specially in the prominence specially in the elbow, hock elbow, hock and knee and knee joints. joints.

• Its developed due to severe continuous p. Its developed due to severe continuous p. on the bony prominenceon the bony prominence

• which lead to dilatation of blood vessels which lead to dilatation of blood vessels and inflammatory edema in the skin and s\c and inflammatory edema in the skin and s\c T. over the bone T. over the bone

BursaBursa

• If this inflammatory lesion is not If this inflammatory lesion is not treated and trauma persist, treated and trauma persist, breakdown of T. and hematoma breakdown of T. and hematoma will will occur leading to formation of typical occur leading to formation of typical false bursafalse bursa

Bursa affectionBursa affection

Bursa affectionBursa affection

Open woundOpen wound • Always the wound of bursa is associated with Always the wound of bursa is associated with

wounds of the joints wounds of the joints

• A contaminated wound of bursa should be A contaminated wound of bursa should be debrided and irrigated debrided and irrigated

• The wound is closed with drainage or left opened The wound is closed with drainage or left opened

• local and systemic antibiotic are needed local and systemic antibiotic are needed

Bursa affectionBursa affection

Acute closed bursitis (non-Acute closed bursitis (non-Suppurative)Suppurative)

• Result from a direct blunt injury to Result from a direct blunt injury to

the bursa or indirectly from sprain of the bursa or indirectly from sprain of overlying tendon overlying tendon

Bursa affectionBursa affection

Treatment Treatment • Light bandagingLight bandaging

• Cold application in early stage will Cold application in early stage will limit exudation and heat limit exudation and heat

• Aspiration of the content and injection Aspiration of the content and injection of corticosteroid may be indicated of corticosteroid may be indicated

Bursa affectionBursa affection

Acute close bursitis (Suppurative)Acute close bursitis (Suppurative)

Closed bursa can be infected either Closed bursa can be infected either • by introduction of organisms as a by introduction of organisms as a

complication of the procedure of complication of the procedure of aspiration and injection of bursa aspiration and injection of bursa

Bursa affectionBursa affection

OrOr • By localization circulating organisms By localization circulating organisms

• Brucella have been isolated from Brucella have been isolated from bursa infection in horse and cows bursa infection in horse and cows

Bursa affectionBursa affection

Treatment Treatment

• Drainage of the bursa or surgical Drainage of the bursa or surgical removal if it necessaryremoval if it necessary

Bursa affectionBursa affection

HygromaHygroma

• It’s a painless swilling and can be presented for It’s a painless swilling and can be presented for the life of the animalthe life of the animal

• Overtime the wall become thicker with mature Overtime the wall become thicker with mature

collagen and cartilagecollagen and cartilage • The cavity decreases in sizeThe cavity decreases in size • The cause is due to chronic trauma to the knee The cause is due to chronic trauma to the knee

joints joints

Bursa affectionBursa affection

TreatmentTreatment

Small early hygroma can be treated bySmall early hygroma can be treated by • Repeated aspiration of the contents Repeated aspiration of the contents

and application of protection bandageand application of protection bandage • Injection of corticoids is not necessary Injection of corticoids is not necessary

Bursa affectionBursa affection

• The contents is weekly aspirated under The contents is weekly aspirated under careful aseptic conditioncareful aseptic condition

• If hygroma has thick wall and a thick If hygroma has thick wall and a thick

and ridge cavity surgical derange and and ridge cavity surgical derange and bandaging is requirebandaging is require

• surgical excision can be performed in surgical excision can be performed in case of pundiculated hygroma case of pundiculated hygroma