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Soft-Tissue Injuries of the Fingertip: Methods of Evaluation and Treatment. An Algorithmic Approach

Lemmon, Joshua A. M.D.; Janis, Jeffrey E. M.D.; Rohrich, Rod J. M.D.

Plastic and Reconstructive Surgery: September 2008 - Volume 122 - Issue 3 - p 105e-117e
doi: 10.1097/PRS.0b013e3181823be0

Learning Objectives: After studying this article, the participant should be able to: 1. Understand the anatomy of the fingertip. 2. Describe the methods of evaluating fingertip injuries. 3. Discuss reconstructive options for various tip injuries.

Summary: The fingertip is the most commonly injured part of the hand, and therefore fingertip injuries are among the most frequent injuries that plastic surgeons are asked to treat. Although microsurgical techniques have enabled replantation of even very distal tip amputations, it is relatively uncommon that a distal tip injury will be appropriate for replantation. In the event that replantation is not pursued, options for distal tip soft-tissue reconstruction must be considered. This review presents a straightforward method for evaluating fingertip injuries and provides an algorithm for fingertip reconstruction.

Dallas, Texas

From the Department of Plastic Surgery, University of Texas Southwestern Medical Center.

Received for publication June 6, 2006; accepted January 9, 2007.

A passing score on this CME confers 0.5 hours of Patient Safety Credit.

The American Society of Plastic Surgeons designates this educational activity for a maximum of one (1) AMA PRA Category 1 credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Disclosure:The authors have no disclosures and are without any relevant commercial associations.

Joshua A. Lemmon, M.D., Regional Plastic Surgery Center, 3201 East George Bush Highway, Suite 101, Richardson, Texas 75082

©2008American Society of Plastic Surgeons