Arterial anatomy and clinical application of the dorsoulnar flap of the thumb
After injection of stained latex at the brachial artery, the arterial supply of the dorsal aspect of the thumb was studied by light microscopy in 25 cadavers. An artery, located on the dorsoulnar side and connecting the head of the first metacarpal with the dorsal arcade of the proximal nail fold, w...
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| Published in | The Journal of hand surgery (American ed.) Vol. 24; no. 4; p. 803 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
1999
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| Subjects | |
| Online Access | Get more information |
| ISSN | 0363-5023 |
| DOI | 10.1053/jhsu.1999.0803 |
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| Abstract | After injection of stained latex at the brachial artery, the arterial supply of the dorsal aspect of the thumb was studied by light microscopy in 25 cadavers. An artery, located on the dorsoulnar side and connecting the head of the first metacarpal with the dorsal arcade of the proximal nail fold, was found in all dissections. We report the results of the anatomic study and the clinical applications of a dorsoulnar skin flap that can be raised on its artery with a distal pedicle. Clinical experience is based on 32 flaps. In 25 cases this flap was used for distal skin loss coverage (palmar or dorsal) of the thumb as an island flap. In 7 cases it was used for reconstruction of the finger pulp (5 index and 2 middle fingers) in the form of a cross-finger flap. |
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| AbstractList | After injection of stained latex at the brachial artery, the arterial supply of the dorsal aspect of the thumb was studied by light microscopy in 25 cadavers. An artery, located on the dorsoulnar side and connecting the head of the first metacarpal with the dorsal arcade of the proximal nail fold, was found in all dissections. We report the results of the anatomic study and the clinical applications of a dorsoulnar skin flap that can be raised on its artery with a distal pedicle. Clinical experience is based on 32 flaps. In 25 cases this flap was used for distal skin loss coverage (palmar or dorsal) of the thumb as an island flap. In 7 cases it was used for reconstruction of the finger pulp (5 index and 2 middle fingers) in the form of a cross-finger flap. |
| Author | Brunelli, F Vigasio, A Valenti, P Brunelli, G R |
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| SubjectTerms | Cadaver Finger Injuries - surgery Fingers - surgery Humans Surgical Flaps - blood supply Thumb - blood supply Thumb - surgery |
| Title | Arterial anatomy and clinical application of the dorsoulnar flap of the thumb |
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