Clinical Atlas Of Muscle And Musculocutaneous Flaps

Stephen J. Mathes Foad Nahai

CONTENTS
SECTION FIVE

Introduction, 1
SECTION ONE

FOOT, 263
Abductor hallucis, 269 Flexor digitorum brevis, 279 Abductor digiti minimi, 291 Extensor digitorum brevis, 301
SECTION SIX

ANTERIOR THIGH, 7
Gracilis, 13 Sartorius, 33 Rectus femoris, 41 Vastus lateralis, 51 Tensor fascia lata (TFL), 63
SECTION TWO

TRUNK, 309
Anterior trunk, 309 Pectoralis major, 317 Serratus anterior, 337 Rectus abdominis, 347 Posterior trunk, 363 Latissimus dorsi, 369 Trapezius, 393
SECTION SEVEN

POSTERIOR THIGH, 87
Gluteus maximus, 91 Biceps femoris, 105 Senlitendinosus, 115 Semimembranosus, 123
SECTION THREE

UPPER EXTREMITY, 421

Biceps brachii, 425 Brachioradialis, 433 Flexor carpi ulnaris, 441
SECTION EIGHT

MEDIAL LEG, 133

Gastrocnemius, 141 Soleus, 157 Flexor digitorum longus, 179 Flexor hallucis longus, 189
SECTION FOUR

HAND, 449
First dorsal interosseous, 453 Abductor pollicis brevis, 459 Abductor digiti minimi, 465
SECTION NINE

LATERAL LEG, 199

Anterior group, 199 Tibialis anterior, 207 Extensor digitorum longus, 21 7 Extensor hallucis longus, 227 Posterior group, 237 Peroneus longus, 241 Peroneus brevis, 251

HEAD AND NECK, 471

Sternocleidomastoid, 475 Temporalis, 487

Appendix, 497 Suggested readings, 500

xiii

Growth, whether in a biologic system or in an intellectual one, is not a linear phenomenon. In the very recent past, transplantation of the kidney and its impact on the whole field of immunology and genetics has given rise to the entire field of transplant surgery. At the same time, a completely new speciality has arisen as a result of the work of Blalock and Taussig, Gross, and others -- cardiac surgery. In brief, growth within the field of surgery has been nothing short of remarkable in the past two decades. The transposition of muscle and musculocutaneous flaps is then an idea whose time has come. Because of muscle flaps, musculocutaneous flaps, arterialized flaps, and microsurgical techniques, the entire field of plastic and reconstructive surgery is undergoing a remarkable period of growth and metamorphosis. The need, therefore, for such an atlas of muscle and musculocutaneous flaps is immediate and obvious. The book, however, is a guide, and each surgeon interested in the field should use the book as it is intended. The atlas is not a cookbook to clinical practice, but rather is a guide to anatomic dissection so that clinical skills can be enhanced thereby. Drs. Mathes and Nahai have firsthand knowledge in the field. They have participated from the start in the development of this exciting aspect of reconstructive surgery. They have spent countless hours in the laboratory and subsequently in the operating rooms at Emory University and at Washington University to detail the precise vascular anatomy of muscle and the overlying skin. To the end of safe clinical practice of reconstructive surgery they have written this book.

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