ResearchReverse Radial Artery Flap Perforator Anatomy and Clinical ApplicationsWhite, Colin P. BSc, MD, FRCSC; Steve, Anna K. Jr; Buchel, Edward W. MD, FACS; Hayakawa, Thomas E. MD, FRCSC; Morris, Steven F. MD, FRCSCAuthor Information From the *Section of Plastic Surgery, University of Manitoba, Winnipeg, Manitoba; †College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan; and ‡Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada. Received January 17, 2015, and accepted for publication, after revision, April 14, 2015. Conflicts of interest and sources of funding: none declared. Reprints: Steven Morris, MD, Division of Plastic Surgery, Rm. 4929, New Halifax Infirmary, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada B3H 3A7. E-mail: [email protected]. Annals of Plastic Surgery: September 2016 - Volume 77 - Issue 3 - p 345-349 doi: 10.1097/SAP.0000000000000551 Buy Metrics Abstract The pedicled reverse radial forearm flap is a well-known option for the treatment of a variety of soft tissue wounds including dorsal hand wounds. We document the number, emerging diameter, length from origin, course, and location of all perforators of the radial artery in a series of 6 fresh human cadavers after whole body lead oxide and gelatin injection to confirm and comprehensively document the anatomy of the radial artery perforators. This data provide an anatomic basis for a modification to the reversed radial forearm flap used to decrease venous congestion in the postoperative period. Two case reports are presented to provide clinical demonstration of the importance of this modification. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.