Abstract
Whereas decubitus ulcer in the back or hip region is a common entity in plegic or elderly patients, the occurrence in the lateral shoulder region is seldom seen. However, resulting from continuous lateral decubitus positioning or limited compliance by the patient, pressure sores may occur in almost any region of the body, but predominately, they arise in acral zones with underlying bone prominences. The deltoid area is such an anatomically critical region, especially if the underlying deltoid muscle is paralyzed. The transposition of a pedicled deltoid flap, slightly modified as a hatchet flap, is described for cover of a decubitus ulcer in the deltoid region in a paraplegic male. Although utilization of the deltoid flap as a free flap is an established procedure for selected indications [Russell et al. (1985) Extremity reconstruction using the free deltoid flap. Plast Reconstr Surg 76:586–595, Serafin D (1996) The deltoid flap. In: Serafin D (ed) Atlas of microsurgical composite tissue transplantation, chapter 19. Saunders, Philadelphia, PA, pp 153–159, Wang et al. (2003) The free deltoid flap: microscopic anatomy studies and clinical application to oral cavity reconstruction. Plast Reconstr Surg 112:404–411], transposition as a pedicled flap, to the best of our knowledge, has not been previously described in the available literature.
References
Cormack GC, Lamberty BGH (1994) Posterior circumflex humeral artery. In: Cormack GC, Lamberty BGH (eds) The arterial anatomy of skin flaps, 2nd edn, chapter 7. Churchill Livingstone, Edinburgh, pp 404–406
Russell RC, Guy RJ, Zook EG, Merrell JC (1985) Extremity reconstruction using the free deltoid flap. Plast Reconstr Surg 76:586–595
Serafin D (1996) The deltoid flap. In: Serafin D (ed) Atlas of microsurgical composite tissue transplantation, chapter 19. Saunders, Philadelphia, PA, pp 153–159
Wang Z, Sano K, Inokutchi T, Li J, Lan X, Sekine J, Ikeda H (2003) The free deltoid flap: microscopic anatomy studies and clinical application to oral cavity reconstruction. Plast Reconstr Surg 112:404–411
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Schwabegger, A.H., DelFrari, B. & Apprich, C. Pedicled deltoid hatchet flap for treatment of pressure sore at the shoulder. Eur J Plast Surg 28, 534–536 (2006). https://doi.org/10.1007/s00238-005-0016-z
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DOI: https://doi.org/10.1007/s00238-005-0016-z