title: The "throbbing sign"--an indication of early venous congestion in replantation surgery.
abstract: Venous congestion in a replanted or transplanted digit can be detected, even before any obvious color changes, by the "throbbing" elicited by pinching the digit between the thumb and finger of the examiner until the skin blanches. Releasing the pressure slowly, a sensation of throbbing will be felt synchronous with the patient's pulse rate. The sign disappears when venous congestion is relieved or when swelling persists and increases enough to lessen the arterial inflow.
mesh_terms: D005121:Extremities / Q000098:blood supply* / Q000601:surgery; D006084:Graft Rejection; D006085:Graft Survival; D006801:Humans; D011183:Postoperative Complications / Q000175:diagnosis; D012092:Replantation; D014034:Toes / Q000637:transplantation; D014182:Transplantation, Autologous; D014652:Vascular Diseases / Q000175:diagnosis* / Q000628:therapy