What is a volar incision?
A Bruner’s incision is a volar zig-zag incision between flexion creases designed with 3 key principles in mind: Reduce flexor contracture – straight-line incisions do not cross flexion creases. Ensure flap vascularity – flap angles are 90 degrees or greater.
What is an axial incision?
The axial incision is defined as the downcutting of the canyon floor during rejuvenation. The most probable mechanism for its formation is the erosion by turbidity currents.
What is a volar hand?
Volar relates to the palm or sole. Volar splints are applied to minimize movements and provide support and comfort by stabilizing an injury of the palm or foot. Immobilizing the joint reduces pain and helps the injury heal faster.
What is volar wrist?
The volar aspect of the wrist includes the radius and ulna. The carpal bones are the scaphoid, leonate, triquetrum, pisiform, trapezium,trapezoid,capitate,hamate. An important structure in the volar aspect of the wrist is the Carpal tunnel.
What is volar side of hand?
Definition of volar : relating to the palm of the hand or the sole of the foot specifically : located on the same side as the palm of the hand.
What’s volar?
What is volar arm?
Volar: Pertaining to the palm or the sole. For example, the volar surface of the forearm is the portion of the forearm that is on the same side as the palm of the hand.
What should I look for in a volar wrist incision?
Volar wrist Incision must avoid damage to the sensory branches of the 3 nerves of the hand To summarise Thorough knowledge of the surface anatomy essential Avoid ▪Palmar vertical incisions in the digits ▪Acute angled flaps ▪Parallel incisions at the web Preferable – lazy S / zig-zag( >900 ) INDICATIONS
Can a cross finger flap be harvested from the volar side?
The flap is designed within the functional limits of the phalanx on the dorsal aspect of the adjacent non-injured finger. A cross-finger flap should not be harvested from the volar side of the finger as this will lead to volar scar contracture and will leave major donor site problem.
What are the different types of incisions in a palmar approach?
▪EXPOSURE OF FIBROUS FLEXOR SHEATHS ▪EXPOSURE OF THE NEUROVASCULAR BUNDLE Palmar approaches Midlateral incisions ▪A Mid-axial incisions ▪B Mid-axial Incision Incision determined by
What are the principles of hand incisions?
The modern-day principles of hand incisions are largely founded on JM Bruner’s publications in 1951, 1966, 1967. Modifications do exist , as discussed below. The ideal hand incision should have the follow 1: Minimal scarring and contracture (incisions cannot cross flexion creases)