The Posterior Interosseous Flap
, A Dancey,
V P Sumathi
, F C Peart
.1.Regional Department of Burns and Plastic Surgery, University HospitalBirmingham, Selly Oak Hospital, Birmingham, United Kingdom.2.Department of Musculoskeletal Pathology, The Royal Orthopaedic Hospital,Birmingham, United Kingdom.Case reportA 57 year-old gentleman presented to his General Practitioner with a swelling on thedorsal aspect of his left hand. The swelling had gradually increased in size over thelast 12 months. It was not painful, associated with any neurological symptoms orfunctional loss. There was no history of trauma or infection.There was no significant past medical history of note and he does not take any regularmedication. He works in a slaughterhouse, he does not smoke and drinks socially.On examination he had a five by seven cm swelling on the dorsal aspect of his lefthand. It was soft, smooth, mobile and it did not appear to involve the extensortendons. The patient was able to make a composite fist, he had full extension at themetacarpal-phalangeal joint and at the proximal and distal inter-phalangeal joints.There was no associated lymphadenopathy or neurovascular deficit.