Janevicius R V, Greager J A
Department of Surgery, Elmhurst Memorial Hospital, Ill.
J Hand Surg Am. 1992 Jan;17(1):102-6. doi: 10.1016/0363-5023(92)90122-6.
A muscle group resection for treatment of malignant fibrous histiocytoma of the distal arm exposed a 15 cm length of radial nerve. The soft tissue defect and radial nerve were covered with an extensor carpi radialis longus muscle island flap. The proximal dominant vascular pedicle enabled extensive mobilization and transposition of this muscle to cover the defect while preserving normal elbow, radial nerve, and hand function. Because of its ease of elevation, extensive arc of rotation, and its expendability, the extensor carpi radialis longus muscle flap should be considered as an option for reconstruction of defects about the elbow joint.
对一名患有远侧臂部恶性纤维组织细胞瘤的患者进行肌肉群切除时，暴露了一段15厘米长的桡神经。软组织缺损和桡神经用桡侧腕长伸肌岛状皮瓣覆盖。近端主要血管蒂使该肌肉能够广泛游离和移位以覆盖缺损，同时保留正常的肘关节、桡神经和手部功能。由于桡侧腕长伸肌皮瓣易于掀起、旋转弧度大且具有 expendability（此处原文可能有误，推测为“可牺牲性”之类意思），应将其视为肘关节周围缺损重建的一种选择。
