title: Soft tissue coverage of the upper extremity: an overview.
abstract: Prehension is a complex function of the hand that gives it mechanical precision combined with a standard sensory pattern. The priority in soft tissue reconstruction for the upper extremity is to restore function. Significant injury to the upper extremity may result after trauma because of various etiologies. The timing and choice of soft tissue coverage for upper extremity defects warrant special consideration to avoid prolonged immobilization, which can result in joint stiffness, tendon adhesions, scar contractures, and ultimately, loss of function. This article reviews the various reconstructive options and considerations involved in providing coverage for upper extremity soft tissue defects.
authors.affiliation: Division of Plastic Surgery, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
authors.forename: Harvey
authors.initials: H
authors.lastname: Chim
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Singapore General Hospital, Outram Road, Singapore 169608, Singapore.
authors.forename: Zhi Yang
authors.initials: ZY
authors.lastname: Ng
authors.affiliation: Division of Plastic Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
authors.forename: Brian T
authors.initials: BT
authors.lastname: Carlsen
authors.affiliation: Division of Plastic Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
authors.forename: Anita T
authors.initials: AT
authors.lastname: Mohan
authors.affiliation: Division of Plastic Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: saintcyr.michel@mayo.edu.
authors.forename: Michel
authors.initials: M
authors.lastname: Saint-Cyr
mesh_terms: D000465:Algorithms; D003646:Debridement; D006801:Humans; D054843:Negative-Pressure Wound Therapy; D011182:Postoperative Care; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps; D034941:Upper Extremity / Q000293:injuries* / Q000601:surgery*
keywords: Hand; Soft tissue coverage; Soft tissue defect; Upper extremity