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Muchos investigadores han estudiado la anatomía vascular de las arterias dorsal del metacarpiano, pero se ha prestado poca atención a la distribución exacta de las perforantes cutáneas del dorso de la mano. Se presenta un estudio anatómico de las perforantes cutáneas en el cuarto espacio interóseo dorsal, que se supone que la anatomía vascular más inconsistente. Métodos: Veinte manos fueron disecados después de la inyección de látex negro. Una paleta cutánea fue esbozado a lo largo del espacio del cuarto metacarpiano dorsal. Suprafascial se llevó a cabo la disección, la preservación de cualquier buque atraviesa la fascia y llegar a la piel. Cada uno de perforantes se remonta a su origen. HP0-P1 3 La ubicación y el origen de cada uno de perforantes fue grabado por imágenes digitales y medida desde un punto de referencia. Resultados: 350-050 En 17 de los casos (85%) al menos 1 de perforantes se identificó en el cuarto espacio atravesando la fascia de los músculos dorsales interósea y llegar a la piel. En 10 manos, una ramificación de perforantes de la rama proximal de la comunicación ha sido identificado, 646-204 situado a una distancia media de 11 mm de la línea de la articulación carpometacarpiana.