Coverage of a carpal tunnel wound dehiscence with the abductor digiti minimi muscle flap

1988 ◽  
Vol 13 (1) ◽  
pp. 36-39 ◽  
Author(s):  
Bruce M. Leslie ◽  
Leonard K. Ruby
Keyword(s):  
Carpal Tunnel ◽  
Muscle Flap ◽  
Wound Dehiscence ◽  
Abductor Digiti Minimi ◽  
Abductor Digiti Minimi Muscle

The Abductor Digiti Minimi Muscle Flap

1983 ◽  
Vol 72 (6) ◽  
pp. 859-863 ◽  
Author(s):  
Neal R. Reisman ◽  
A. Lee Dellon
Keyword(s):  
Muscle Flap ◽  
Abductor Digiti Minimi ◽  
Abductor Digiti Minimi Muscle

scholarly journals ABERRANT ABDUCTOR DIGITI MINIMI MUSCLE FOUND DURING OPEN SURGICAL DECOMPRESSION OF THE CARPAL TUNNEL: CASE REPORT. Músculo abductor digiti minimi aberrante hallado durante una cirugía abierta descompresiva del tunel carpiano: reporte de caso

2016 ◽  
Vol 5 (2) ◽  
pp. 88-91
Author(s):  
Svetoslav A Slavchev ◽  
Georgi P Georgiev
Keyword(s):  
Carpal Tunnel ◽  
Ulnar Artery ◽  
Metacarpophalangeal Joint ◽  
Interesting Case ◽  
Clinical Implications ◽  
Muscle Belly ◽  
Abductor Digiti Minimi ◽  
Ulnar Aspect ◽  
Hypothenar Muscle ◽  
Abductor Digiti Minimi Muscle

En este artículo reportamos un caso interesante de músculo hipotenar aberrante encontrado durante una descompresión del túnel carpiano. La variante muscular surgía de la fascia antebraquial voloradial, y pasaba sobre la arteria y el nervio ulnar en el canal de Guyón, y se insertaba en la cara ulnar hipotenar. La tensión en el vientre muscular produjo ligera abducción de la quinta articulación metacarpofa-lángica, lo que confirmó que el músculo era abductor digiti minimi aberrante. Observamos asimismo las diferentes variaciones de este músculo y ponemos énfasis en su potencial implicancia clínica. Herein, we present an interesting case of an aberrant hypothenar muscle found during carpal tunnel decompression. The variant muscle arised from the voloradial antebrachial fascia and coursed over the ulnar artery and nerve in the Guyon canal, and inserted into the ulnar aspect of the hypothenar. Tension on the muscle belly provided slight abduction of the fifth metacarpophalangeal joint, which confirmed it to be an aberrant abductor digiti minimi muscle. We also discuss different variations of this muscle and emphasize its potential clinical implications.

The Abductor Digiti Minimi Muscle Flap

HAND ◽  
1977 ◽  
Vol os-9 (1) ◽  
pp. 82-85 ◽  
Author(s):  
Timothy M. Milward ◽  
Wayne G. Stott ◽  
Harold E. Kleinert
Keyword(s):  
Muscle Flap ◽  
Skin Flaps ◽  
Muscle Flaps ◽  
Abductor Digiti Minimi ◽  
Abductor Digiti Minimi Muscle

The problems of extensive scarring involving the median and ulnar nerves at the wrist are discussed. Possible methods of separating the dermal cicatrix from the nerves are skin flaps or muscle flaps. A case is presented in which an abductor digiti minimi muscle flap was used. The reasons for this choice are discussed and the technique described.

Distally Based Abductor Digiti Minimi Muscle Flap

1985 ◽  
Vol 14 (4) ◽  
pp. 375-377 ◽  
Author(s):  
Yohko Yoshimura ◽  
Tatsuo Nakajima ◽  
Toshiaki Kami
Keyword(s):  
Muscle Flap ◽  
Abductor Digiti Minimi ◽  
Distally Based ◽  
Abductor Digiti Minimi Muscle

Modification of the abductor digiti minimi muscle flap for soft tissue coverage of the diabetic foot

2020 ◽  
Vol 29 (Sup7) ◽  
pp. S32-S36
Author(s):  
Crystal L Ramanujam ◽  
Alan C Suto ◽  
Thomas Zgonis
Keyword(s):  
Soft Tissue ◽  
Surgical Technique ◽  
Diabetic Foot ◽  
Donor Site ◽  
Muscle Flap ◽  
Surgical Reconstruction ◽  
Soft Tissue Coverage ◽  
Skin Island ◽  
Abductor Digiti Minimi ◽  
Abductor Digiti Minimi Muscle

The local intrinsic abductor digiti minimi muscle flap is ideal for lateral, plantar lateral traumatic or diabetic foot wounds following adequate surgical debridement to eradicate any soft tissue and/or osseous infection. Although the indications and surgical technique have been well-described in the literature, the authors present a unique modification of tunnelling the harvested muscle flap directly from the donor site to the plantar recipient foot wound by maintaining the intact overlying skin island at the surface of the fifth metatarsal base. This modification allows preservation of the patient's skin integrity in this area, thereby minimising potential morbidity at the major pedicle site. After the harvested muscle is tunnelled through the intact skin island, an adjacent local random flap mobilisation, autogenous or allogeneic skin graft can then be used for coverage over the muscle inset if primary wound closure is not feasible. Simultaneous soft tissue or osseous surgical procedures and/or surgical offloading with external fixation at the time of index surgery may be necessary to achieve optimal outcomes. The authors present a modified surgical technique for the abductor digiti minimi muscle flap that can be performed in the surgical reconstruction of a soft tissue wound in patients with diabetic Charcot neuroarthropathy.

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