Final answer:
Leg ulcers of this nature are usually caused by atherosclerotic obstruction of the arteries, leading to decreased blood flow and tissue damage.
Step-by-step explanation:
The most common cause of leg ulcers in a 45-year-old male client with arterial insufficiency is atherosclerotic obstruction of the arteries. Peripheral artery disease (PAD) is the narrowing of the arteries, usually in the legs, due to atherosclerosis. Atherosclerosis is the buildup of plaque in the artery walls, leading to decreased blood flow and tissue damage.