Reconstruction of the ischemic hand

William C Pederson1, Michael W Neumeister

  • 1The Hand Center of San Antonio and The University of Texas Health Science Center, 21 Spurs Lane, #310, San Antonio, TX 78240, USA. micro1@ix.netcom.com

Ischemia of the hand remains an uncommon condition, but problems with arterial perfusion of the hand can arise from trauma (open and closed), thrombosis, or arteriovascular disease. Certain identifiable patterns are seen with hand ischemia, usually discernable according to which one of the major arteries (radial or ulnar) are involved. This article discusses the origin and management of ischemic hand conditions, with an emphasis on recognizing the patterns of ischemia that are commonly seen.

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