PMID: 8976749Dec 1, 1996Paper

Anatomical basis for a fasciocutaneous flap from the hypothenar eminence of the hand

British Journal of Plastic Surgery
S OmokawaJ S Han

Abstract

Thirty-two fresh cadaver hands were perfused with a silicone rubber compound (Microfil) and dissected to explore the vascular and neural anatomy of the hypothenar eminence, in order to assess the possibility for free or pedicled island flaps from this area. In five specimens Microfil was selectively injected into the ulnar palmar digital artery of the little finger to determine the skin territory nourished by this artery. The hypothenar eminence was divided into three territories according to the type of nutrient artery supplying each territory. Among the three territories, the distal half of the ulnar aspect of the hypothenar eminence (approximately 3 x 2 cm), located over the abductor and flexor digiti minimi muscles, had a constant vascular and neural supply from the ulnar palmar digital artery of the little finger and the dorsal or palmar cutaneous branch of the ulnar nerve. This fasciocutaneous area provides a new and feasible donor site for free or pedicled island skin flaps to repair palmar skin defects of the fingers.

References

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Nov 1, 1992·British Journal of Plastic Surgery·J A Bertelli, Z Khoury
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Citations

Feb 28, 2013·Surgical and Radiologic Anatomy : SRA·Francesca ToiaLuca Delcroix
Jun 14, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Kwang Seog KimSam Yong Lee
Oct 9, 2002·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·E GudemezA Elhan
Jul 26, 2013·Operative Orthopädie und Traumatologie·F StangP Stollwerck
Jun 18, 2010·Chirurgie de la main·E Lebreton
Oct 8, 2016·Hand Clinics·Kyungjin LeeJinsoo Kim
Oct 27, 2006·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·Syed N AliJeremy O Roberts
Jan 23, 2020·Hand : Official Journal of the American Association for Hand Surgery·Daniel Postan, Luciano Augusto Poitevin
Jul 7, 2020·The Journal of Hand Surgery, European Volume·Satoshi UsamiHiroki Mori
Nov 17, 2020·Hand : Official Journal of the American Association for Hand Surgery·Daniel Postan
Jan 26, 2002·The Journal of Hand Surgery·Shohei OmokawaVincent L Kish

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