Faculty of Veterinary Medicine University of Zagreb
Abstract
A 2-month-old, 7 kg, male Belgian shepherd Malinois was presented for evaluation of simple and complete syndactyly a nd metacarpal/tarsal pad agenesis in all four limbs, as well as deep digital flexor tendon contracture in the left thoracic and right pelvic limbs. A deep digital flexor tenotomy (digits 2 to 5) was initially performed at the level of the proximal and middle phalanges in the left thoracic limb. Pelvic limb surgery was not performed because the puppy showed less severe signology in this limb and to evaluate the consequences of the thoracic limb surgery. The patient responded partially, and was then treated with a subsequent bilateral tenotomy made more proximal to the previously described, at the level of the lateral lumbrical muscles in the left thoracic and right pelvic limbs. At 7-month post-operative examination, the patient had minimal lameness, especially regarding concurrent syndactyly and pad agenesis of all extremities that was not treated.U radu je iznesen opis i procjena stanja u dvomjesečnog, 7 kg teškog šteneta, belgijskog Malinois ovčara, s jednostavnom i potpunom sraštenošću prstiju, nerazvijenim metakarpalnim/metatarzalnim mekušina na sve 4 noge te s kontrakturama duboke digitalne fleksorne tetive na lijevoj prednjoj i desnoj stražnjoj nozi. U slučaju prve lijeve noge obavljeno je presjecanje duboke digitalne fleksorne tetive (2. do 5. prsta) na razini gornje i srednje falange. Operacija stražnje noge nije obavljena jer je štene na tom ekstremitetu pokazivalo manje izražene simptome, a željelo se prvo i procjeniti učinke zahvata na prednjoj nozi. Stanje pacijenta djelomično se poboljšalo, stoga je naknadno provedeno bilateralno presijecanje tetiva na mjestu iznad prethodne operacije, na razini lateralnih lumbrikalnih mišića prednje lijeve i stražnje desne noge. Postoperativnom kontrolom nakon 7 mjeseci, kod pacijenta je utvrđena minimalna šepavost, posebice vezana za neliječenu popratnu sraštenost prstiju i nerazvijenost mekuši na svim ekstremitetima
