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J Hand Microsurg 2018; 10(01): 054-056
DOI: 10.1055/s-0037-1607047
DOI: 10.1055/s-0037-1607047
Ideas and Innovations
“The Serpentine Zone”: A Surgeon's Guide to the Surface Anatomy of the Digital Neurovascular Spiral in Dupuytren's Contracture
Further Information
Publication History
Received: 03 July 2017
Accepted: 08 August 2017
Publication Date:
27 November 2017 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00031417/201801/lookinside/thumbnails/10-1055-s-0037-1607047_00063-1.jpg)
Abstract
The anatomy of the cords that form in Dupuytren's disease is complicated and a spiral cord is the most challenging variant to address. It displaces the neurovascular bundle toward or beyond the midline and closer to the skin. This article illustrates the surface anatomy of the neurovascular spiral to help surgeons identify this zone of danger that the authors term “the serpentine zone.” Careful dissection in this zone will help avoid iatrogenic digital neurovascular injury.
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