Bursa by Dr. Nimer Khraim DVMS, BVMS, MVSc

Bursa Anatomical bursa true bursaAnatomical bursa true bursa Pathological bursaPathological bursa

Bursa Anatomical bursa Are CT sac lined by secretory endothelium of synovial membraneAre CT sac lined by secretory endothelium of synovial membrane containing a viscous fluid and synoviam containing a viscous fluid and synoviam

Bursa They are situated between moving partsThey are situated between moving parts So the bursa serves to reduce friction between these moving partsSo the bursa serves to reduce friction between these moving parts such as tendons, ligaments and muscle and between bony prominence such as tendons, ligaments and muscle and between bony prominence

Bursa Acquired bursa Situated between the skin and bony prominence specially in the elbow, hock and knee joints.Situated between the skin and bony prominence specially in the elbow, hock and knee joints. Its developed due to severe continuous p. on the bony prominenceIts developed due to severe continuous p. on the bony prominence which lead to dilatation of blood vessels and inflammatory edema in the skin and s\c T. over the bone which lead to dilatation of blood vessels and inflammatory edema in the skin and s\c T. over the bone

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

Bursa affection

Open wound Always the wound of bursa is associated with wounds of the jointsAlways the wound of bursa is associated with wounds of the joints A contaminated wound of bursa should be debrided and irrigatedA contaminated wound of bursa should be debrided and irrigated The wound is closed with drainage or left openedThe wound is closed with drainage or left opened local and systemic antibiotic are neededlocal and systemic antibiotic are needed

Bursa affection Acute closed bursitis (non-Suppurative) Result from a direct blunt injury to the bursa or indirectly from sprain of overlying tendonResult from a direct blunt injury to the bursa or indirectly from sprain of overlying tendon

Bursa affection Treatment Light bandagingLight bandaging Cold application in early stage will limit exudation and heatCold application in early stage will limit exudation and heat Aspiration of the content and injection of corticosteroid may be indicatedAspiration of the content and injection of corticosteroid may be indicated

Bursa affection Acute close bursitis (Suppurative) Closed bursa can be infected either by introduction of organisms as a complication of the procedure of aspiration and injection of bursaby introduction of organisms as a complication of the procedure of aspiration and injection of bursa

Bursa affection Or By localization circulating organismsBy localization circulating organisms Brucella have been isolated from bursa infection in horse and cowsBrucella have been isolated from bursa infection in horse and cows

Bursa affection Treatment Drainage of the bursa or surgical removal if it necessaryDrainage of the bursa or surgical removal if it necessary

Bursa affection Hygroma It’s a painless swilling and can be presented for the life of the animalIt’s a painless swilling and can be presented for the life of the animal Overtime the wall become thicker with mature collagen and cartilageOvertime the wall become thicker with mature collagen and cartilage The cavity decreases in sizeThe cavity decreases in size The cause is due to chronic trauma to the knee jointsThe cause is due to chronic trauma to the knee joints

Bursa affection Treatment Small early hygroma can be treated by Repeated aspiration of the contents and application of protection bandageRepeated aspiration of the contents and application of protection bandage Injection of corticoids is not necessaryInjection of corticoids is not necessary

Bursa affection The contents is weekly aspirated under careful aseptic conditionThe contents is weekly aspirated under careful aseptic condition If hygroma has thick wall and a thick and ridge cavity surgical derange and bandaging is requireIf hygroma has thick wall and a thick and ridge cavity surgical derange and bandaging is require surgical excision can be performed in case of pundiculated hygroma surgical excision can be performed in case of pundiculated hygroma