PMID: 2096457Jan 1, 1990Paper

Anatomic basis of a dorso-commissural flap from the 2nd, 3rd and 4th intermetacarpal spaces

Surgical and Radiologic Anatomy : SRA
P ValentiT Bégué

Abstract

This study relates to an island skin-flap constructed on the dorsal aspect of the hand, between the heads of the 2nd, 3rd, 4th and 5th metacarpals. The vascular pedicle consists of the subcutaneous fatty tissue of the dorsal aspect of the proximal phalanx. This fatty tissue is richly vascularized by the dorsal branches of the proper palmar digital artery and by the periarticular circle of the proximal interphalangeal joint. The point of rotation of the flap is situated at the level of the proximal interphalangeal joint. The length of the pedicle allows the skin flap to cover losses of substance of the dorsal aspect of the middle and distal phalanges. Its chief advantage is that it does not sacrifice the proper palmar digital artery.

References

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Citations

Sep 27, 2005·Microsurgery·Elisabeth K BeahmGary C Burget
Apr 12, 2008·Surgical and Radiologic Anatomy : SRA·Julien BeldameFabrice Duparc
Sep 1, 1994·British Journal of Plastic Surgery·P Voche, M Merle
Dec 16, 2003·British Journal of Plastic Surgery·E KeramidasJ Ioannovich
Sep 3, 1998·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·P C Cavadas, L Puertes-Corella
Dec 12, 2002·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·J Braga-SilvaW Albertoni
Jan 23, 1999·Plastic and Reconstructive Surgery·P PelissierJ Baudet
Sep 22, 2005·Techniques in Hand & Upper Extremity Surgery·Jefferson Braga-Silva
Mar 21, 2008·Journal of Burn Care & Research : Official Publication of the American Burn Association·Ercan Karacaoglu, Alper Gokce
Feb 6, 2007·The Journal of Hand Surgery·TaiSik YoonJose M Serra-Renom
Dec 4, 2004·The Journal of Hand Surgery·Jefferson Braga-SilvaFlávio Faloppa
Mar 14, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·H KochE Scharnagl
Jul 16, 2016·Hand : Official Journal of the American Association for Hand Surgery·Epameinondas KostopoulosVincent Casoli
Jun 29, 2011·The Journal of Hand Surgery, European Volume·N Dauphin, V Casoli
Jun 15, 2006·Plastic and Reconstructive Surgery·Epaminondas KostopoulosOthon Papadopoulos
Mar 30, 2007·Surgical and Radiologic Anatomy : SRA·Cesare TiengoRaffaele De Caro
May 19, 2005·Annals of Plastic Surgery·Sebat Karamürsel, Selim Celebioğlu
Sep 28, 2000·Plastic and Reconstructive Surgery·S L ChenH J Wang

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