case_images: PMC9302009_01
case_images: Left elbow defect following wide local excision of a Merkel cell carcinoma lesion.
case_images: ICRP_A_2099395_F0001_C.jpg
case_images: PMC9302009_01_ICRP_A_2099395_F0001_C.jpg
case_images: F0001
case_images: The resulting defect measured 5 x 5 cm over the olecranon (Figure 1).
case_images: Reverse lateral arm flap design along the axis of the lateral intermuscular septum, extending from the deltoid insertion to the lateral epicondyle. (*) Audible doppler signal of the targeted perforating vessels.
case_images: ICRP_A_2099395_F0002_C.jpg
case_images: PMC9302009_01_ICRP_A_2099395_F0002_C.jpg
case_images: F0002
case_images: The skin island design was centered over the lower third, measuring 15 x 8 cm (Figure 2).
case_images: Reverse lateral arm flap pedicle dissection (Arrow) and sparing of the radial nerve (*) and posterior cutaneous nerve of the arm (**).
case_images: ICRP_A_2099395_F0003_C.jpg
case_images: PMC9302009_01_ICRP_A_2099395_F0003_C.jpg
case_images: F0003
case_images: The pedicle was dissected free from the surrounding tissue and nerves, protecting the radial nerve and posterior cutaneous nerve of the arm (Figure 3).
case_images: Reverse lateral arm flap rotation and inset.
case_images: ICRP_A_2099395_F0004_C.jpg
case_images: PMC9302009_01_ICRP_A_2099395_F0004_C.jpg
case_images: F0004
case_images: The overlying skin bridge was divided to avoid compression on the pedicle and the donor site was closed primarily without tension (Figure 4).
case_images: Recovery of elbow range of motion was shown at six months follow-up. (a) Full flexion (b) Full extension.
case_images: ICRP_A_2099395_F0005_C.jpg
case_images: PMC9302009_01_ICRP_A_2099395_F0005_C.jpg
case_images: F0005
case_images: Recovery of full elbow range of motion was achieved six months post-surgery with physiotherapy (Figure 5).