Chronic biceps brachii (BB) tendinopathy is a rare cause of lameness in horses that can be challenging to diagnose and treat successfully. This pathology is typically insidious in onset and unresponsive to conservative treatment. A 12-year-old Quarter Horse gelding presented for chronic severe lameness of the left forelimb that was localised to the left shoulder area. The horse was unresponsive to conservative management and surgical exploration revealed a grossly enlarged proximal BB tendon, a thickened fibrotic bicipital bursa and adhesions between the tendon, humerus and bursa. With standing sedation and local anaesthesia, the adhesions were debrided and 10 cm of the affected tendon was excised. Immediately post-operatively, the left forelimb lameness dramatically decreased. The horse recovered well and after rehabilitation returned to the previous level of athletic performance without evidence of lameness or gait abnormality. In this case, tenectomy of the chronic unresponsive BB tendinopathy, with associated bursal fibrosis and humeral adhesions, was successful and resulted in a return to previous athletic performance without complications. Standing excision of the BB tendon may be a viable treatment option for chronic BB tendinopathy and associated conditions when there is significant compromise to the integrity of the BB tendon.

This case series describes placement of an endotracheal tube (ETT) with an air-inflated cuff within surgically created sinonasal windows as a technique of post-operative haemostasis. A frontonasal bone flap and a sinonasal window were performed routinely in three standing horses with paranasal sinus disease. In Case 1, the fistula was initially gauze packed, which controlled haemorrhage until concerns of gauze dislodgement necessitated removal 8 h postoperatively.Severe haemorrhage ensued, requiring emergency passage of an ETT and cuff inflation for control. In Cases 2 and 3, the ETT was placed electively intraoperatively for post-operative haemostasis. The ETT was easy to use in the standing horse and no discomfort or complications were recorded. It adequately controlled haemorrhage postoperatively by application of controlled pressure to the nasal and sinus vasculature. ETT cuff placement and inflation over surgically created sinonasal windows has the potential to provide simple and reliable haemostasis following standing sinus-flap surgery without the reported complications of conventionally used methods.