Artery anatomy and tortuosity in the distal finger

The arterial architecture in the finger distal to the proximal interphalangeal joint was studied in sixty-seven cadaver fingers with the aid of an operating microscope. The course, frequency, location, and diameter of the dorsal nail fold artery and its anastomosis was recorded. Similar measurements were performed for the palmar anastomosis. The frequency of arterial tortuosity in the digital artery was compiled and a classification of its morphology devised. The characteristic of arterial tortuosity provides a degree of protection to these essential structures. Failure to recognize this facet of arterial anatomy may be one more factor contributing to our inability to successfully revascularize the distal finger in certain patients.