Voche P, Merle M
Department of Plastic and Reconstructive Surgery of the Locomotor Apparatus, CHRU Nancy, Hôpital Jeanne d'Arc, Dommartin les Toul, France.
Br J Plast Surg. 1996 Jul;49(5):315-8. doi: 10.1016/s0007-1226(96)90162-9.
The arterial system of the palmar subcutaneous fatty tissue of fingers was studied by injecting a coloured silicone polymer into the vessels of 12 fresh human cadaver hands. Arterial vascularisation of these tissues is ensured by small palmar branches arising from the main digital arteries: there were an average of 7 branches on each side varying between 4 and 12 in the specimens studied. Three anatomical patterns could be distinguished: an I-shaped configuration in 64% of cases, a narrow V-shape in 23%, and a Y-shape in 13%. An accompanying venous network was always present and drained into either the superficial or deep venous network. These anatomical findings confirm the vascular reliability of the homodigital subcutaneous flap described by the authors.
通过向12只新鲜人体尸体手的血管中注入有色硅聚合物，研究了手指掌侧皮下脂肪组织的动脉系统。这些组织的动脉血管化由主要指动脉发出的小掌侧分支提供：在所研究的标本中，每侧平均有7个分支，数量在4至12个之间变化。可区分出三种解剖模式：64%的病例为I形结构，23%为窄V形，13%为Y形。始终存在一个伴行静脉网络，其汇入浅静脉网络或深静脉网络。这些解剖学发现证实了作者所描述的同指皮下皮瓣的血管可靠性。
