Radial fillet flap following double ray amputation of the 2nd and 3rd fingers for invasive squamous cell carcinoma: a case report and review of the literature

Authors

DOI:

https://doi.org/10.18203/2349-2902.isj20210532

Keywords:

Case report, Ray amputation, Hand, SCC

Abstract

Double ray amputation of the hand due to malignancy is extremely rare, with a paucity of published cases. We reviewed the literature and analysed our own experience in order to familiarise clinicians with this rare condition through a discussion of its diagnosis, management and prognosis. We present the case of a 54-year-old male with invasive squamous cell carcinoma (SCC) of the 2nd web space. He underwent a double ray amputation of the 2nd and 3rd fingers with a radial fillet flap and has begun range of motion exercises after six weeks. SCC of the hand requiring a double ray amputation is extremely rare. An MRI is required to accurately diagnose and manage this condition. The ray amputation technique is important for ensuring negative margins. A fillet flap should be used to close the defect as it provides a sensate web-space and improves motor function prognosis.

Author Biography

Justin Weller, Musgrave Ave Southport, Queensland

Vascular Surgery Registrar

References

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CHartier TK, Aasi SZ. Treatment and prognosis of cutaneous squamous cell carcinoma. 2016.

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Koegel AM, Banducchi DR, Kahler SH, Huack RM, Manders EK. Sensibility of finger fillet flaps on late follow-up evaluation. J Hand Surg. 1995;20(4):679-82.

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Published

2021-02-25

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Section

Case Reports