Non-selective cutaneous sensory neurectomy as an alternative treatment for auto-mutilation lesion following arthrodesis in three dogs

Forterre, Franck; Jaggy, A.; Malik, Y.; Howard, J.; Rufenacht, S.; Spreng, David (2009). Non-selective cutaneous sensory neurectomy as an alternative treatment for auto-mutilation lesion following arthrodesis in three dogs. Veterinary and comparative orthopaedics and traumatology, 22(3), pp. 233-7. Stuttgart: Schattauer 10.3415/VCOT-08-09-0091

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OBJECTIVE: To describe an alternative method for the treatment of non-responsive self-mutilation injuries in three dogs after carpal/tarsal arthrodesis. STUDY DESIGN: Case series ANIMALS: Two dogs with carpal injury and one dog with tarsal injury treated by arthrodesis METHODS: All dogs developed self-mutilation injuries due to licking and/or chewing of the toes within 21-52 days of surgery. Clinical signs did not resolve within one week after conservative treatment with wound debridement and protective bandages. Following general anaesthesia, a deep horseshoe-shaped skin incision, including the subdermal tissue, was performed proximal to the self-mutilation injury transecting the sensory cutaneous afferent nerves. The skin incision was closed with simple interrupted sutures. RESULTS: All wounds healed without complication. Self-mutilation resolved completely within 24 hours after surgery in all dogs. No recurrence was observed (5 months to 3 years). CONCLUSION: Non-selective cutaneous sensory neurectomy may lead to resolution of self-mutilation following arthrodesis in dogs. CLINICAL RELEVANCE: Failure of conservative treatment in self-mutilation injuries often leads to toe or limb amputation as a last resort. The technique described in this case series is a simple procedure that should be considered prior to amputation. The outcome of this procedure in dogs self-multilating due to neurological or behavioral disturbances unrelated to carpal or tarsal arthrodesis is not known.

Item Type:	Journal Article (Original Article)
Division/Institute:	05 Veterinary Medicine > Department of Clinical Veterinary Medicine (DKV) > Small Animal Clinic 05 Veterinary Medicine > Department of Clinical Veterinary Medicine (DKV) > DKV - Central Clinical Laboratory 05 Veterinary Medicine > Department of Clinical Veterinary Medicine (DKV) > DKV - Clinical Neurology 05 Veterinary Medicine > Department of Clinical Veterinary Medicine (DKV) > DKV - Dermatology
UniBE Contributor:	Forterre, Franck, Jaggy, André, Howard, Judith, Rüfenacht, Silvia, Spreng, David Emmanuel
Subjects:	600 Technology > 630 Agriculture
ISSN:	0932-0814
Publisher:	Schattauer
Language:	English
Submitter:	Judith Howard
Date Deposited:	04 Oct 2013 15:25
Last Modified:	02 Mar 2023 23:23
Publisher DOI:	10.3415/VCOT-08-09-0091
Web of Science ID:	000267272700012
URI:	https://boris.unibe.ch/id/eprint/38315 (FactScience: 220998)