The pulp ring avulsion lesion as a new indication for the free dorsal middle phalangeal finger flap: a case report.

Kalbermatten, Daniel F; Kalbermatten, Natalie T; von Wartburg, Urs; Fritsche, Elmar · J Hand Surg Am · 2003

case_report · Level V

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Abstract

An ideal reconstruction of fingertip injuries should provide good sensibility and no pain in the activities of daily life. We report a case of a professional trumpet player who sustained a severe avulsion injury when his right index finger was crushed in a slamming door. The soft tissue of the distal finger was debrided circumferentially. To cover the defect we performed a free dorsal middle phalangeal finger flap from the ipsilateral ring finger. This flap provides excellent sensory recovery and an aesthetic outcome.

Medical subject headings

Anatomy