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Digital Arterial Occlusion in Scleroderma: Is There a Role for Digital Arterial Reconstruction?

From the Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, USA

Correspondence: Dr. Matthew M. Tomaino, Dept of Orthopaedic Surgery, University of Pittsburgh Medical Center, 3471 Fifth Avenue, Suite 1010, Pittsburgh PA 15213, USA. E-mail: mtomaino{at}uoi.upmc.edu

A 47-year-old patient with Raynaud’s phenomenon secondary to scleroderma developed long finger ischaemic pain. This was successfully treated with a palmar sympathectomy and a long finger digital artery reconstruction using a reversed small calibre vein graft between a perforator from the deep palmar arch and the radial digital artery at the level of the distal interphalangeal joint.

Journal of Hand Surgery (British and European Volume), Vol. 25, No. 6, 611-613 (2000)
DOI: 10.1054/jhsb.2000.0439


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