Document Detail


Anatomical classification of the first dorsal metatarsal artery and its clinical application.
MedLine Citation:
PMID:  24281608     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Vascularized tissue transfer pedicled with the first dorsal metatarsal artery is commonly used in the microsurgical reconstruction of tissue defect. However, there are great anatomical variations of the artery. In this study, the authors classified the artery based on its origin (from where it arises), branches, and course. The significance of this classification system related to harvesting a first dorsal metatarsal artery-based tissue transfer is also discussed.
METHODS: Fresh tissue dissection (n = 48) and cast specimens (n = 30) were studied. Three-dimensional reconstruction (n = 5) was performed based on the computed tomography angiogram of the adult feet. Ultrasound color Doppler imaging was performed on 340 feet. The anatomy of first dorsal metatarsal artery was also studied in patients (n = 148) who had surgery on the first web space.
RESULTS: The intramuscular type of the artery described by Gilbert was not found in any of the study specimens. The most common type was found in the space between the dorsal interosseous muscle and the first metatarsal. The authors thus propose a new classification system for the first dorsal metatarsal artery: the arises (origin), branch, and course (ABC) classification system.
CONCLUSION: The arises (origin), branch, and course classification system can help a surgeon to better understand the anatomical variations of the first dorsal metatarsal artery and harvest vascularized tissues based on the artery.
Authors:
Zhidian Hou; Jiyao Zou; Zengtao Wang; Shizhen Zhong
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Publication Detail:
Type:  Journal Article; Video-Audio Media    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  132     ISSN:  1529-4242     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  2013 Dec 
Date Detail:
Created Date:  2013-11-27     Completed Date:  2014-01-28     Revised Date:  2014-10-13    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1028e-39e     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Arteries / anatomy & histology*,  surgery
Cadaver
Dissection
Female
Healthy Volunteers
Humans
Male
Metatarsus / blood supply*,  surgery*,  ultrasonography
Microsurgery / methods
Middle Aged
Muscle, Skeletal / blood supply*,  surgery*,  ultrasonography
Reconstructive Surgical Procedures / methods*
Tissue and Organ Harvesting / methods
Toes / blood supply,  surgery,  ultrasonography
Ultrasonography, Doppler
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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