Bicipital Tendinopathy and Carpal Valgus Following a Distant Direct Thoracoabdominal Skin Flap in a German Shepherd with Necrotizing Fasciitis

Mielke, B; Kulendra, N J; Halfacree, Z J; Kulendra, E R

Abstract

A 4 mo old German shepherd dog was presented following an acute onset lameness and swelling of the thoracic limb. Clinical signs, surgical findings, and culture results were consistent with a diagnosis of necrotizing fasciitis. Initial management consisted of extensive surgical debridement, wound lavage, and bandaging. Surgical closure was achieved with an axillary fold flap and distant direct single-pedicle thoracoabdominal flap. Three mo later, following deterioration of the lameness that was associated with carpal valgus, carpal subluxation, and tendinopathy of the distal radial insertion of the biceps brachii tendon, a closing wedge pancarpal arthrodesis and tenotomy of the biceps brachii tendon was performed. We hypothesize that extensive soft tissue trauma and subsequent fibrosis and tendon contracture following soft tissue reconstruction contributed to the complications seen. To the authors’ knowledge, this is the first report of carpal valgus deformity and biceps brachii tendinopathy following a distant direct skin flap and axillary skin fold flap.

Citation

Mielke, B., Kulendra, N. J., Halfacree, Z. J., & Kulendra, E. R. (2018). Bicipital Tendinopathy and Carpal Valgus Following a Distant Direct Thoracoabdominal Skin Flap in a German Shepherd with Necrotizing Fasciitis. https://doi.org/10.5326/JAAHA-MS-6616

• Journal Article Type: Other
• Acceptance Date: Jun 22, 2016
• Publication Date: Jun 25, 2018
• Deposit Date: Jun 23, 2018
• Journal: Journal of the American Animal Hospital Association
• Peer Reviewed: Peer Reviewed
• Volume: 54
• Issue: 4
• Pages: 226-230
• DOI: https://doi.org/10.5326/JAAHA-MS-6616
• Public URL: https://rvc-repository.worktribe.com/output/1386740