This patient was working on his car when the fender fell, pinning his hand for 30 minutes and crushing it. He had thick gloves on but still sustained third- and fourth- degree burns to the dorsum of his left hand and fingers.
The Image of the Week for December 13 is brought to you in partnership with:
Submit your diagnosis to see full explanation.
The treatment was a bipedicled abdominal flap to resurface the dorsal hand and fingers. A pedicled flap is a wound reconstruction that remains partially attached to the donor site and receives its blood supply through a stalk. These flaps can be used in plastic and reconstructive surgery to cover exposed bone and tendon, major vessels, and organs.
Learn more here:
Chapter 2: Grafts and flaps. American Society of Plastic Surgeons website. Available at http://www.plasticsurgery.org/Documents/medical-professionals/publications/Essentials-Chapter-2-Grafts-and-Flaps.pdf