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Peer-reviewed veterinary case report

Healing a long-lasting metacarpal pad ulcer in a dog with nerve flap

By Danielson, Kelson C et al.·Published in Journal of the American Animal Hospital Association·2009·Department of Surgical Sciences, United States·View original on PubMed

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Original publication title: Successful treatment of a metacarpal trophic ulcer utilizing a neurovascular island flap.

Species:
dog

Plain-English summary

A 4-year-old neutered male soft-coated wheaten terrier mix had a nonhealing ulcer on his paw that lasted for about 10 to 12 weeks. The vet found that the ulcer was caused by a problem with the ulnar nerve, leading to the skin issue. To fix it, they used a special surgical technique called a neurovascular island flap, which helps promote healing. After the surgery, they protected the area with a fiberglass splint, and the flap healed well, eventually looking like a normal paw pad.

People also search for: dog paw pad ulcer treatment · soft coated wheaten terrier skin problems · dog ulnar nerve injury care

Abstract

A 4-year-old, neutered male, soft coated wheaten terrier mixed-breed dog was presented for evaluation of a nonhealing ulcer of the metacarpal pad of 10 to 12 weeks' duration. A diagnosis of an ulnar nerve deficit and secondary trophic ulceration was made. The ulcer was repaired using a neurovascular island flap. Postoperatively, a fiberglass clamshell splint was used to protect the healing flap. The flap healed successfully and developed a highly keratinized epithelium much like a normal footpad.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/19570900/