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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2022; 50(02): e077-e083
DOI: 10.1055/s-0042-1756205
Artículo Original | Original Article

Arterial Vascularization of the Fingers: Anatomy and Clinical Applications in Reconstructive Surgery

Artikel in mehreren Sprachen: español | English
Júlia Benitez Flores 
1   Departamento de Anatomía y Embriología Humana, Laboratorio de Macro-Microdisección y Anatomía Quirúrgica, Facultad de Medicina, Universidad de Barcelona, Barcelona, Barcelona, España
2   Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitari de Bellvitge, L'Hospitalet del Llobregat, Barcelona, España
,
Rosa María Morro Martí 
1   Departamento de Anatomía y Embriología Humana, Laboratorio de Macro-Microdisección y Anatomía Quirúrgica, Facultad de Medicina, Universidad de Barcelona, Barcelona, Barcelona, España
3   Servicio de Cirugía Ortopédica y Traumatología, Hospital Mateu Orfila, Mahón, Menorca, España
,
Paula López García 
1   Departamento de Anatomía y Embriología Humana, Laboratorio de Macro-Microdisección y Anatomía Quirúrgica, Facultad de Medicina, Universidad de Barcelona, Barcelona, Barcelona, España
4   Servicio de Angiología y Cirugía Vascular, Hospital Universitari de Bellvitge, L'Hospitalet del Llobregat, Barcelona, España
,
Pablo Martínez Collado 
1   Departamento de Anatomía y Embriología Humana, Laboratorio de Macro-Microdisección y Anatomía Quirúrgica, Facultad de Medicina, Universidad de Barcelona, Barcelona, Barcelona, España
5   Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitari Vall d'Hebron, Barcelona, España
,
Anton Fornieles Espinel 
1   Departamento de Anatomía y Embriología Humana, Laboratorio de Macro-Microdisección y Anatomía Quirúrgica, Facultad de Medicina, Universidad de Barcelona, Barcelona, Barcelona, España
5   Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitari Vall d'Hebron, Barcelona, España
,
Manuel Llusa Pérez 
1   Departamento de Anatomía y Embriología Humana, Laboratorio de Macro-Microdisección y Anatomía Quirúrgica, Facultad de Medicina, Universidad de Barcelona, Barcelona, Barcelona, España
5   Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitari Vall d'Hebron, Barcelona, España
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Abstract

Several authors have reported variations in the size of the proper palmar and dorsal arteries of each digit of the hand, which could affect the success of a reconstructive hand surgery, especially regarding the use of flaps. The aim of the present study is to perform a qualitative comparison of the size of these arteries in each finger. In order to do so, six hands from cryopreserved fresh cadavers were injected with latex. The fingers were prepared using the tissue-clearing technique by Spalteholz and a variation of it with glycerine.

The results show a predominance of the proper digital palmar artery in the ulnar side of the index and middle fingers, as well as in the radial side of the small finger. The only proper dorsal digital arteries that were visible were those of the thumb and of the radial side of the index finger. Despite the consistency of the pattern described, anatomic variations can occur in any digit, which force the surgeon to explore the patient through the modified Allen test and Doppler-ultrasound before any surgical intervention.

Keywords

hand - fingers - cadaver - hand injury - reconstructive surgery


Publikationsverlauf

Eingereicht: 05. April 2022

Angenommen: 14. Juni 2022

Artikel online veröffentlicht:
16. Dezember 2022

© 2022. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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