Figure Legend: Traumatic flaps have unpredictable vascularity, particularly when they are distally based, involve a crush mechanism, and involve the skin of the palm.  This patient sustained a crush injury of the hand resulting in distally based and long thin palmar flaps (left, center).  Primary wound healing and early recovery is most reliably achieved with excision and resurfacing areas of indeterminate viability.  In this case, a full thickness graft was applied to the palm (right).
 

e-Hand

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