case_images: PMC9270045_01
case_images: (A) Figure shows 11 digits of the serratil muscle, with two branches of the thoracodorsal artery destined for the anterior serratus muscle. (B and C) The last 4 digits with a long vascular pedicle, reaching the elbow region.
case_images: 1809-4406-aob-30-spe1-e250673-gf01.jpg
case_images: PMC9270045_01_1809-4406-aob-30-spe1-e250673-gf01.jpg
case_images: f1
case_images: (A) Injury in the back of the wrist and hand. (B) The initial appearance of a bulky flap. (C and D) subsequent atrophy of the denervated muscle, promoting a very acceptable final contour a few weeks after the flap application.
case_images: 1809-4406-aob-30-spe1-e250673-gf02.jpg
case_images: PMC9270045_01_1809-4406-aob-30-spe1-e250673-gf02.jpg
case_images: f2
case_images: The initial aspect of a bulky flap can be resolved by the subsequent atrophy of the denervated muscle, promoting a very acceptable final contour a few weeks after its application. ( Figure 2 ) Microsurgical instruments and with the aid of loupes and a stereoscopic dissecting microscope set at 16x magnification are the fundamental tools used by our staff in this procedure.