Flexor carpi ulnaris (humeral head) muscle flap for reconstruction of distal forelimb injuries in two dogs

Objective-To describe the use of the humeral head of the flexor carpi ulnaris muscle as a rotational flap for reconstruction of distal antebrachial, carpal, and metacarpal injuries in two dogs. Study Design-Description of clinical cases. Results-Local rotation of the humeral head of the flexor carpi ulnaris muscle provided coverage of the carpal and carpometacarpal bones and joint structures exposed by soft tissue avulsion. Conclusions-The distal portion of the humeral head of the flexor carpi ulnaris muscle can be used as a local muscle flap. Clinical Relevance-Early soft tissue coverage of large wounds to the carpel and metacarpal regions can be accomplished without resorting to a more technically difficult procedure, such as a free vascularized flap transfer. (C)Copyright 1998 by The American College of Veterinary Surgeons.