Diagnosis, treatment and outcome of cranial nuchal bursitis in 30 horses (2024)

Abstract

Background
No large retrospective case series describing the treatment and outcomes following diagnosis of cranial nuchal bursitis have been published.

Objective
To describe the clinical presentation, diagnostic techniques, treatment and outcome of horses suffering from cranial nuchal bursitis and to determine their outcome after medical or surgical treatment.

Study design
Retrospective case series.

Methods
Medical records (1990–2014) of two referral centres were reviewed for signalment, diagnostic features, method of treatment (medical, surgical or both) and outcome.

Results
The median age of horses was 13 years (range 5–22 years) and follow‐up time ranged from 12 to 108 months. Fourteen horses were treated medically and 20 horses were treated surgically. Of those horses treated medically, four horses had recurrence of clinical signs requiring subsequent surgical treatment. Overall, 41.7% of horses had recurrence of clinical signs following treatment and 66.7% of horses were able to return to their previous level of exercise. Five horses underwent more than one surgical procedure due to recurrence of clinical signs. Of those horses treated solely surgically, 28.6% of the horses had recurrence of clinical signs and 78.6% returned to their previous level of exercise. Of those horses treated solely medically, 33.3% had recurrence of clinical signs and 66.7% returned to their previous level of exercise. Of those horses treated surgically following failed medical management, 100% had recurrence of clinical signs and 25% returned to their previous level of exercise.

Main limitations
Retrospective design with small sample number.

Conclusions
Nuchal bursitis can be successfully managed with either medical or surgical treatment. Prognosis for return to work tends to be worse in horses requiring surgical intervention following failed medical management.

Original languageEnglish
Pages (from-to)465-469
Number of pages5
JournalEquine Veterinary Journal
Volume50
Issue number4
DOIs
Publication statusPublished - Jul 2018

Keywords

  • horse
  • poll evil
  • bursoscopy

Access to Document

  • diagnosisFinal published version, 296 KBLicence: Taverne

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Bergren, A. L., Abuja, G. A., Bubec, K. A., Spoormakers, T. J. P., & Garcia-Lopez, J. M. (2018). Diagnosis, treatment and outcome of cranial nuchal bursitis in 30 horses. Equine Veterinary Journal, 50(4), 465-469. https://doi.org/10.1111/evj.12787

Bergren, A.L. ; Abuja, G.A. ; Bubec, K.A. et al. / Diagnosis, treatment and outcome of cranial nuchal bursitis in 30 horses. In: Equine Veterinary Journal. 2018 ; Vol. 50, No. 4. pp. 465-469.

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title = "Diagnosis, treatment and outcome of cranial nuchal bursitis in 30 horses",

abstract = "BackgroundNo large retrospective case series describing the treatment and outcomes following diagnosis of cranial nuchal bursitis have been published.ObjectiveTo describe the clinical presentation, diagnostic techniques, treatment and outcome of horses suffering from cranial nuchal bursitis and to determine their outcome after medical or surgical treatment.Study designRetrospective case series.MethodsMedical records (1990–2014) of two referral centres were reviewed for signalment, diagnostic features, method of treatment (medical, surgical or both) and outcome.ResultsThe median age of horses was 13 years (range 5–22 years) and follow‐up time ranged from 12 to 108 months. Fourteen horses were treated medically and 20 horses were treated surgically. Of those horses treated medically, four horses had recurrence of clinical signs requiring subsequent surgical treatment. Overall, 41.7% of horses had recurrence of clinical signs following treatment and 66.7% of horses were able to return to their previous level of exercise. Five horses underwent more than one surgical procedure due to recurrence of clinical signs. Of those horses treated solely surgically, 28.6% of the horses had recurrence of clinical signs and 78.6% returned to their previous level of exercise. Of those horses treated solely medically, 33.3% had recurrence of clinical signs and 66.7% returned to their previous level of exercise. Of those horses treated surgically following failed medical management, 100% had recurrence of clinical signs and 25% returned to their previous level of exercise.Main limitationsRetrospective design with small sample number.ConclusionsNuchal bursitis can be successfully managed with either medical or surgical treatment. Prognosis for return to work tends to be worse in horses requiring surgical intervention following failed medical management.",

keywords = "horse, poll evil, bursoscopy",

author = "A.L. Bergren and G.A. Abuja and K.A. Bubec and T.J.P. Spoormakers and J.M. Garcia-Lopez",

year = "2018",

month = jul,

doi = "10.1111/evj.12787",

language = "English",

volume = "50",

pages = "465--469",

journal = "Equine Veterinary Journal",

issn = "2042-3306",

publisher = "British Equine Veterinary Association",

number = "4",

}

Bergren, AL, Abuja, GA, Bubec, KA, Spoormakers, TJP & Garcia-Lopez, JM 2018, 'Diagnosis, treatment and outcome of cranial nuchal bursitis in 30 horses', Equine Veterinary Journal, vol. 50, no. 4, pp. 465-469. https://doi.org/10.1111/evj.12787

Diagnosis, treatment and outcome of cranial nuchal bursitis in 30 horses. / Bergren, A.L.; Abuja, G.A.; Bubec, K.A. et al.
In: Equine Veterinary Journal, Vol. 50, No. 4, 07.2018, p. 465-469.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Diagnosis, treatment and outcome of cranial nuchal bursitis in 30 horses

AU - Bergren, A.L.

AU - Abuja, G.A.

AU - Bubec, K.A.

AU - Spoormakers, T.J.P.

AU - Garcia-Lopez, J.M.

PY - 2018/7

Y1 - 2018/7

N2 - BackgroundNo large retrospective case series describing the treatment and outcomes following diagnosis of cranial nuchal bursitis have been published.ObjectiveTo describe the clinical presentation, diagnostic techniques, treatment and outcome of horses suffering from cranial nuchal bursitis and to determine their outcome after medical or surgical treatment.Study designRetrospective case series.MethodsMedical records (1990–2014) of two referral centres were reviewed for signalment, diagnostic features, method of treatment (medical, surgical or both) and outcome.ResultsThe median age of horses was 13 years (range 5–22 years) and follow‐up time ranged from 12 to 108 months. Fourteen horses were treated medically and 20 horses were treated surgically. Of those horses treated medically, four horses had recurrence of clinical signs requiring subsequent surgical treatment. Overall, 41.7% of horses had recurrence of clinical signs following treatment and 66.7% of horses were able to return to their previous level of exercise. Five horses underwent more than one surgical procedure due to recurrence of clinical signs. Of those horses treated solely surgically, 28.6% of the horses had recurrence of clinical signs and 78.6% returned to their previous level of exercise. Of those horses treated solely medically, 33.3% had recurrence of clinical signs and 66.7% returned to their previous level of exercise. Of those horses treated surgically following failed medical management, 100% had recurrence of clinical signs and 25% returned to their previous level of exercise.Main limitationsRetrospective design with small sample number.ConclusionsNuchal bursitis can be successfully managed with either medical or surgical treatment. Prognosis for return to work tends to be worse in horses requiring surgical intervention following failed medical management.

AB - BackgroundNo large retrospective case series describing the treatment and outcomes following diagnosis of cranial nuchal bursitis have been published.ObjectiveTo describe the clinical presentation, diagnostic techniques, treatment and outcome of horses suffering from cranial nuchal bursitis and to determine their outcome after medical or surgical treatment.Study designRetrospective case series.MethodsMedical records (1990–2014) of two referral centres were reviewed for signalment, diagnostic features, method of treatment (medical, surgical or both) and outcome.ResultsThe median age of horses was 13 years (range 5–22 years) and follow‐up time ranged from 12 to 108 months. Fourteen horses were treated medically and 20 horses were treated surgically. Of those horses treated medically, four horses had recurrence of clinical signs requiring subsequent surgical treatment. Overall, 41.7% of horses had recurrence of clinical signs following treatment and 66.7% of horses were able to return to their previous level of exercise. Five horses underwent more than one surgical procedure due to recurrence of clinical signs. Of those horses treated solely surgically, 28.6% of the horses had recurrence of clinical signs and 78.6% returned to their previous level of exercise. Of those horses treated solely medically, 33.3% had recurrence of clinical signs and 66.7% returned to their previous level of exercise. Of those horses treated surgically following failed medical management, 100% had recurrence of clinical signs and 25% returned to their previous level of exercise.Main limitationsRetrospective design with small sample number.ConclusionsNuchal bursitis can be successfully managed with either medical or surgical treatment. Prognosis for return to work tends to be worse in horses requiring surgical intervention following failed medical management.

KW - horse

KW - poll evil

KW - bursoscopy

U2 - 10.1111/evj.12787

DO - 10.1111/evj.12787

M3 - Article

SN - 2042-3306

VL - 50

SP - 465

EP - 469

JO - Equine Veterinary Journal

JF - Equine Veterinary Journal

IS - 4

ER -

Bergren AL, Abuja GA, Bubec KA, Spoormakers TJP, Garcia-Lopez JM. Diagnosis, treatment and outcome of cranial nuchal bursitis in 30 horses. Equine Veterinary Journal. 2018 Jul;50(4):465-469. doi: 10.1111/evj.12787

Diagnosis, treatment and outcome of cranial nuchal bursitis in 30 horses (2024)
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