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      Histopathological Characterization of Tail Injury and Traumatic Neuroma Development after Tail Docking in Piglets

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          Summary

          Tail docking of neonatal pigs is widely used as a measure to reduce the incidence of tail biting, a complex management problem in the pig industry. Concerns exist over the long-term consequences of tail docking for possible tail stump pain sensitivity due to the development of traumatic neuromas in injured peripheral nerves. Tail stumps were obtained post mortem from four female pigs at each of 1, 4, 8 and 16 weeks following tail amputation (approximately two-thirds removed) by a gas-heated docking iron on post natal day 3. Tissues were processed routinely for histopathological examination. Non-neural inflammatory and reparative epidermal and dermal changes associated with tissue thickening and healing were observed 1 to 4 months after docking. Mild neutrophilic inflammation was present in some cases, although this and other degenerative and non-neural reparative changes are not likely to have caused pain. Traumatic neuroma and neuromatous tissue development was not observed 1 week after tail docking, but was evident 1 month after tail docking. Over time there was marked nerve sheath and axonal proliferation leading to the formation of neuromata, which were either localized and circumscribed or comprised of multiple axons dispersed within granulation tissue. Four months after tail resection, neuroma formation was still incomplete, with possible implications for sensitivity of the tail stump.

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          Most cited references22

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          Properties of afferent nerve impulses originating from a neuroma.

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            Mechanism of traumatic neuroma development.

            We suggest that symptomatic traumatic neuromas - benign lesions of incompletely understood etiology - develop when neural fiber regeneration occurs in the presence of excessive fibrous tissue proliferation. Subsequent contraction of wound and scar myofibroblasts leads to compression of the regenerating nerve fibers and further stimulation of the overgrowth of their perineurial cells as a protective response. This chronic process leads to a slow enlargement of the proliferating mass and the typical histological picture of a traumatic neuroma, in which multiple interlacing fascicles of nerve fibers are encased in condensed fibrous tissue. To avoid the development of a traumatic neuroma, we propose that an injured or a transected nerve should be placed out of the site of potential excessive fibroproduction and/or that all external factors leading to excessive fibroproduction development be eliminated from the wound site.
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              Painful neuromas.

              To perform a topical review of the published literature on painful neuromas. A MEDLINE search was performed using the MESH terms "neuroma", "pain", "diagnosis", and "treatment" for all dates. Acoustic neuromas and intraabdominal neuromas were excluded from a total of 7616 articles. The reference lists from these articles were further reviewed to obtain other relevant articles. Neuromas develop as part of a normal reparative process following peripheral nerve injury. Painful neuromas can induce intense pain resulting in immense suffering and disability. MRI aids the diagnosis, but, ultrasound imaging allows cost effective accurate diagnosis and localization of neuromas by demonstrating their direct contiguity with the nerve of origin. Management options for painful neuromas include pharmacotherapy, prosthetic adjustments, steroid injection, chemical neurolysis, cryoablation, and radiofrequency ablation. Ultrasound imaging guidance has improved the success in localizing and targeting the neuromas. This review discusses the patho-physiology and accumulated evidence for various therapies and the current percutaneous interventional management options for painful neuromas.
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                Author and article information

                Contributors
                Journal
                J Comp Pathol
                J. Comp. Pathol
                Journal of Comparative Pathology
                Elsevier
                0021-9975
                1532-3129
                1 July 2016
                July 2016
                : 155
                : 1
                : 40-49
                Affiliations
                []Animal and Veterinary Science Research Group, Scotland's Rural College (SRUC), West Mains Road, Edinburgh, UK
                []Royal (Dick) School of Veterinary Studies and the Roslin Institute, Easter Bush Campus, Roslin, Midlothian, UK
                []School of Agriculture, Food and Rural Development, Newcastle University, Newcastle upon Tyne, UK
                Author notes
                []Correspondence to: D. A. Sandercock. dale.sandercock@ 123456sruc.ac.uk
                Article
                S0021-9975(16)30042-1
                10.1016/j.jcpa.2016.05.003
                4940206
                27302763
                65d5354e-2383-4006-a1ba-a4a1e17c9750
                © 2016 The Author(s)

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

                History
                : 6 January 2016
                : 10 May 2016
                Categories
                Spontaneously Arising Disease

                pain,pig,tail docking,traumatic neuroma
                pain, pig, tail docking, traumatic neuroma

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