The dorsum of the hand is a very specialized region with thin and fragile skin characterized by poor subcutaneous tissue. The dorsal aspect of the hand is frequently prone to different types of injuries (crush, degloving, hot press, friction...) resulting in exposed tendons and bone. The treatment of cutaneous defects may be obtained with local pedicle flaps, distant pedicle flaps or with free ...

OBJECTIVES The purpose of this study was to determine whether sonography can identify the distal posterior interosseous nerve at the wrist. METHODS On the basis of previous anatomic descriptions, high-resolution musculoskeletal sonography was used in an attempt to identify the distal posterior interosseous nerve in the wrists of 20 unembalmed cadaveric specimens (11 male and 9 female; ages 54...

BACKGROUND It can be difficult to select an appropriate flap for various defects on the hand. Although defects of the hand usually must be covered with a skin flap, some defects require a flap with rich blood supply and adequate additive soft tissue volume. The authors present their experience with the anconeus muscle free flap in the reconstruction of various defects and the release of scar co...

OBJECTIVE To investigate the spatial pattern of lesion dispersion in posterior interosseous neuropathy syndrome (PINS) by high-resolution magnetic resonance neurography. METHODS This prospective study was approved by the local ethics committee and written informed consent was obtained from all patients. In 19 patients with PINS and 20 healthy controls, a standardized magnetic resonance neurog...