Anatomical bases of the free posterior brachial fascial flap
Purpose Fascias can be used for reconstruction of gliding surfaces of upper and lower extremities or when thin, pliable coverage is required. Free large and well-vascularised fascial flaps are not very many and harvesting is seldom onto upper limb. The aim of this work was to study blood supply of t...
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| Veröffentlicht in: | Surgical and radiologic anatomy (English ed.) 2010-04, Vol.32 (4), p.393-399 |
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| creator | Wavreille, Guillaume Bricout, Jérôme Mouliade, Sébastien Lemoine, Stéphane Prodhomme, Grégory Khanchandani, Prakash Chantelot, Christophe Fontaine, Christian |
| description | Purpose
Fascias can be used for reconstruction of gliding surfaces of upper and lower extremities or when thin, pliable coverage is required. Free large and well-vascularised fascial flaps are not very many and harvesting is seldom onto upper limb. The aim of this work was to study blood supply of the posterior brachial fascia in order to define the anatomical bases of a new free fascial flap.
Methods
Our study included dissection on 18 anatomic specimens from 10 cadavers. Measures of the flap and blood supply were studied. Histological study was performed to analyse vessels location and measures into flap thickness.
Results
The posterior brachial fascia was thin, with a broad surface area and easily separable from the subcutaneous and muscular plane. Its average surface size is 115-mm length and 54-mm width. It was richly vascularised by two major pedicles: the cutaneous posterior brachial pedicule and the fascial branch of the superior ulnar collateral artery. Satellite venous elements were always present. A rich vascular network exists within the thickness of the fascia. Surgical procedure of flap harvesting is described.
Conclusion
Harvesting of the flap can be carried out by a posteromedial approach into upper limb, without significant donor-site morbidity. This flap is adapted to cover and reconstruct gliding tendinous surfaces onto hand or fingers. |
| doi_str_mv | 10.1007/s00276-009-0576-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_733821843</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1997331221</sourcerecordid><originalsourceid>FETCH-LOGICAL-c400t-9078174382b064f88f3efe565738878dc604b1a22267f689186e66ce38b08b163</originalsourceid><addsrcrecordid>eNp1kF1LwzAUhoMoOqc_wBspgnhVPWna5BS8GcMvGHij1yHNEtfRL5MO5r83s8WB4NUJ5Dlv3jyEXFC4pQDizgMkgscAeQxZOGwPyIQmIo8xo-KQTCBnEFNgeEJOvV8DQEYpHpMTmmPCRUYn5H7WqL6tS62qqFDe-Ki1Ub8ykXXGRF3re-PK1kWFU3pVBsgqr39mpbozcmRV5c35OKfk_fHhbf4cL16fXuazRaxTgD7OQSAVKcOkAJ5aRMuMNRnPBEMUuNQc0oKqJAmdLMecIjeca8OwACwoZ1NyM-R2rv3cGN_LuvTaVJVqTLvxUrCQTTFlgbz6Q67bjWtCOZkAchEM7OLoAGnXeu-MlZ0ra-W-JAW5EysHsTKIlTuxcht2LsfgTVGb5X5jNBmA6xEIglRlnWp06X-58DfI0iwNXDJwPlw1H8btG_7_-jc5Po2Y</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>208670056</pqid></control><display><type>article</type><title>Anatomical bases of the free posterior brachial fascial flap</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Wavreille, Guillaume ; Bricout, Jérôme ; Mouliade, Sébastien ; Lemoine, Stéphane ; Prodhomme, Grégory ; Khanchandani, Prakash ; Chantelot, Christophe ; Fontaine, Christian</creator><creatorcontrib>Wavreille, Guillaume ; Bricout, Jérôme ; Mouliade, Sébastien ; Lemoine, Stéphane ; Prodhomme, Grégory ; Khanchandani, Prakash ; Chantelot, Christophe ; Fontaine, Christian</creatorcontrib><description>Purpose
Fascias can be used for reconstruction of gliding surfaces of upper and lower extremities or when thin, pliable coverage is required. Free large and well-vascularised fascial flaps are not very many and harvesting is seldom onto upper limb. The aim of this work was to study blood supply of the posterior brachial fascia in order to define the anatomical bases of a new free fascial flap.
Methods
Our study included dissection on 18 anatomic specimens from 10 cadavers. Measures of the flap and blood supply were studied. Histological study was performed to analyse vessels location and measures into flap thickness.
Results
The posterior brachial fascia was thin, with a broad surface area and easily separable from the subcutaneous and muscular plane. Its average surface size is 115-mm length and 54-mm width. It was richly vascularised by two major pedicles: the cutaneous posterior brachial pedicule and the fascial branch of the superior ulnar collateral artery. Satellite venous elements were always present. A rich vascular network exists within the thickness of the fascia. Surgical procedure of flap harvesting is described.
Conclusion
Harvesting of the flap can be carried out by a posteromedial approach into upper limb, without significant donor-site morbidity. This flap is adapted to cover and reconstruct gliding tendinous surfaces onto hand or fingers.</description><identifier>ISSN: 0930-1038</identifier><identifier>EISSN: 1279-8517</identifier><identifier>DOI: 10.1007/s00276-009-0576-x</identifier><identifier>PMID: 19826751</identifier><language>eng</language><publisher>Paris: Springer-Verlag</publisher><subject>Aged ; Aged, 80 and over ; Anatomic Bases of Medical ; Anatomy ; Anatomy & physiology ; Arm - anatomy & histology ; Arm - blood supply ; Biological and medical sciences ; Brachial Artery - anatomy & histology ; Cadaver ; Fascia - blood supply ; Female ; General aspects ; Humans ; Imaging ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Motor ability ; Musculoskeletal diseases ; Orthopedics ; Radiological and Surgical Techniques ; Radiology ; Surgery ; Surgical Flaps - blood supply</subject><ispartof>Surgical and radiologic anatomy (English ed.), 2010-04, Vol.32 (4), p.393-399</ispartof><rights>Springer-Verlag 2009</rights><rights>2015 INIST-CNRS</rights><rights>Springer-Verlag 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-9078174382b064f88f3efe565738878dc604b1a22267f689186e66ce38b08b163</citedby><cites>FETCH-LOGICAL-c400t-9078174382b064f88f3efe565738878dc604b1a22267f689186e66ce38b08b163</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00276-009-0576-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00276-009-0576-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22605454$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19826751$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wavreille, Guillaume</creatorcontrib><creatorcontrib>Bricout, Jérôme</creatorcontrib><creatorcontrib>Mouliade, Sébastien</creatorcontrib><creatorcontrib>Lemoine, Stéphane</creatorcontrib><creatorcontrib>Prodhomme, Grégory</creatorcontrib><creatorcontrib>Khanchandani, Prakash</creatorcontrib><creatorcontrib>Chantelot, Christophe</creatorcontrib><creatorcontrib>Fontaine, Christian</creatorcontrib><title>Anatomical bases of the free posterior brachial fascial flap</title><title>Surgical and radiologic anatomy (English ed.)</title><addtitle>Surg Radiol Anat</addtitle><addtitle>Surg Radiol Anat</addtitle><description>Purpose
Fascias can be used for reconstruction of gliding surfaces of upper and lower extremities or when thin, pliable coverage is required. Free large and well-vascularised fascial flaps are not very many and harvesting is seldom onto upper limb. The aim of this work was to study blood supply of the posterior brachial fascia in order to define the anatomical bases of a new free fascial flap.
Methods
Our study included dissection on 18 anatomic specimens from 10 cadavers. Measures of the flap and blood supply were studied. Histological study was performed to analyse vessels location and measures into flap thickness.
Results
The posterior brachial fascia was thin, with a broad surface area and easily separable from the subcutaneous and muscular plane. Its average surface size is 115-mm length and 54-mm width. It was richly vascularised by two major pedicles: the cutaneous posterior brachial pedicule and the fascial branch of the superior ulnar collateral artery. Satellite venous elements were always present. A rich vascular network exists within the thickness of the fascia. Surgical procedure of flap harvesting is described.
Conclusion
Harvesting of the flap can be carried out by a posteromedial approach into upper limb, without significant donor-site morbidity. This flap is adapted to cover and reconstruct gliding tendinous surfaces onto hand or fingers.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anatomic Bases of Medical</subject><subject>Anatomy</subject><subject>Anatomy & physiology</subject><subject>Arm - anatomy & histology</subject><subject>Arm - blood supply</subject><subject>Biological and medical sciences</subject><subject>Brachial Artery - anatomy & histology</subject><subject>Cadaver</subject><subject>Fascia - blood supply</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Motor ability</subject><subject>Musculoskeletal diseases</subject><subject>Orthopedics</subject><subject>Radiological and Surgical Techniques</subject><subject>Radiology</subject><subject>Surgery</subject><subject>Surgical Flaps - blood supply</subject><issn>0930-1038</issn><issn>1279-8517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kF1LwzAUhoMoOqc_wBspgnhVPWna5BS8GcMvGHij1yHNEtfRL5MO5r83s8WB4NUJ5Dlv3jyEXFC4pQDizgMkgscAeQxZOGwPyIQmIo8xo-KQTCBnEFNgeEJOvV8DQEYpHpMTmmPCRUYn5H7WqL6tS62qqFDe-Ki1Ub8ykXXGRF3re-PK1kWFU3pVBsgqr39mpbozcmRV5c35OKfk_fHhbf4cL16fXuazRaxTgD7OQSAVKcOkAJ5aRMuMNRnPBEMUuNQc0oKqJAmdLMecIjeca8OwACwoZ1NyM-R2rv3cGN_LuvTaVJVqTLvxUrCQTTFlgbz6Q67bjWtCOZkAchEM7OLoAGnXeu-MlZ0ra-W-JAW5EysHsTKIlTuxcht2LsfgTVGb5X5jNBmA6xEIglRlnWp06X-58DfI0iwNXDJwPlw1H8btG_7_-jc5Po2Y</recordid><startdate>20100401</startdate><enddate>20100401</enddate><creator>Wavreille, Guillaume</creator><creator>Bricout, Jérôme</creator><creator>Mouliade, Sébastien</creator><creator>Lemoine, Stéphane</creator><creator>Prodhomme, Grégory</creator><creator>Khanchandani, Prakash</creator><creator>Chantelot, Christophe</creator><creator>Fontaine, Christian</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20100401</creationdate><title>Anatomical bases of the free posterior brachial fascial flap</title><author>Wavreille, Guillaume ; Bricout, Jérôme ; Mouliade, Sébastien ; Lemoine, Stéphane ; Prodhomme, Grégory ; Khanchandani, Prakash ; Chantelot, Christophe ; Fontaine, Christian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-9078174382b064f88f3efe565738878dc604b1a22267f689186e66ce38b08b163</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anatomic Bases of Medical</topic><topic>Anatomy</topic><topic>Anatomy & physiology</topic><topic>Arm - anatomy & histology</topic><topic>Arm - blood supply</topic><topic>Biological and medical sciences</topic><topic>Brachial Artery - anatomy & histology</topic><topic>Cadaver</topic><topic>Fascia - blood supply</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Motor ability</topic><topic>Musculoskeletal diseases</topic><topic>Orthopedics</topic><topic>Radiological and Surgical Techniques</topic><topic>Radiology</topic><topic>Surgery</topic><topic>Surgical Flaps - blood supply</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wavreille, Guillaume</creatorcontrib><creatorcontrib>Bricout, Jérôme</creatorcontrib><creatorcontrib>Mouliade, Sébastien</creatorcontrib><creatorcontrib>Lemoine, Stéphane</creatorcontrib><creatorcontrib>Prodhomme, Grégory</creatorcontrib><creatorcontrib>Khanchandani, Prakash</creatorcontrib><creatorcontrib>Chantelot, Christophe</creatorcontrib><creatorcontrib>Fontaine, Christian</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical and radiologic anatomy (English ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wavreille, Guillaume</au><au>Bricout, Jérôme</au><au>Mouliade, Sébastien</au><au>Lemoine, Stéphane</au><au>Prodhomme, Grégory</au><au>Khanchandani, Prakash</au><au>Chantelot, Christophe</au><au>Fontaine, Christian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anatomical bases of the free posterior brachial fascial flap</atitle><jtitle>Surgical and radiologic anatomy (English ed.)</jtitle><stitle>Surg Radiol Anat</stitle><addtitle>Surg Radiol Anat</addtitle><date>2010-04-01</date><risdate>2010</risdate><volume>32</volume><issue>4</issue><spage>393</spage><epage>399</epage><pages>393-399</pages><issn>0930-1038</issn><eissn>1279-8517</eissn><abstract>Purpose
Fascias can be used for reconstruction of gliding surfaces of upper and lower extremities or when thin, pliable coverage is required. Free large and well-vascularised fascial flaps are not very many and harvesting is seldom onto upper limb. The aim of this work was to study blood supply of the posterior brachial fascia in order to define the anatomical bases of a new free fascial flap.
Methods
Our study included dissection on 18 anatomic specimens from 10 cadavers. Measures of the flap and blood supply were studied. Histological study was performed to analyse vessels location and measures into flap thickness.
Results
The posterior brachial fascia was thin, with a broad surface area and easily separable from the subcutaneous and muscular plane. Its average surface size is 115-mm length and 54-mm width. It was richly vascularised by two major pedicles: the cutaneous posterior brachial pedicule and the fascial branch of the superior ulnar collateral artery. Satellite venous elements were always present. A rich vascular network exists within the thickness of the fascia. Surgical procedure of flap harvesting is described.
Conclusion
Harvesting of the flap can be carried out by a posteromedial approach into upper limb, without significant donor-site morbidity. This flap is adapted to cover and reconstruct gliding tendinous surfaces onto hand or fingers.</abstract><cop>Paris</cop><pub>Springer-Verlag</pub><pmid>19826751</pmid><doi>10.1007/s00276-009-0576-x</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Surgical and radiologic anatomy (English ed.), 2010-04, Vol.32 (4), p.393-399 |
| issn | 0930-1038 1279-8517 |
| language | eng |
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| subjects | Aged Aged, 80 and over Anatomic Bases of Medical Anatomy Anatomy & physiology Arm - anatomy & histology Arm - blood supply Biological and medical sciences Brachial Artery - anatomy & histology Cadaver Fascia - blood supply Female General aspects Humans Imaging Male Medical sciences Medicine Medicine & Public Health Middle Aged Motor ability Musculoskeletal diseases Orthopedics Radiological and Surgical Techniques Radiology Surgery Surgical Flaps - blood supply |
| title | Anatomical bases of the free posterior brachial fascial flap |
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