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Varix of the digit.

T J Gargan1, S A Slavin

  • 1Division of Plastic Surgery, Beth Israel Hospital, Boston, Mass.

Plastic and Reconstructive Surgery
|April 1, 1988
PubMed
Summary

Digital varix, a rare vascular lesion, is often caused by trauma or aging. Surgical excision offers a curative solution for symptomatic cases, suggesting it may be more common than previously thought.

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Area of Science:

  • Vascular Surgery
  • Dermatology
  • Hand Surgery

Background:

  • Digital varix is an uncommon vascular abnormality affecting the digits.
  • Its pathogenesis is linked to repetitive trauma, mechanical compression, and age-related phlebectasia.
  • Clinical presentation can be complicated by thrombophlebitic or thrombotic changes, leading to misdiagnosis.

Observation:

  • A retrospective review identified eight patients diagnosed with digital varix over three years.
  • Surgical confirmation was achieved in six of these patients.
  • A tourniquet test proved valuable in diagnosing cases with ambiguous clinical presentations.

Findings:

  • Surgical excision of symptomatic digital varices resulted in complete resolution for all six surgically treated patients.
  • Two patients managed conservatively showed no resolution over a three-year observation period.
  • The study suggests digital varix may be underdiagnosed in the medical literature.

Implications:

  • Surgical excision is an effective treatment for symptomatic digital varix.
  • Increased clinical awareness may improve diagnosis rates for this potentially common condition.
  • Further research is warranted to understand the full spectrum and prevalence of digital varices.

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