The four common digital arteries arise from the superficial palmar arch and run distally to divide at the finger webs into proper digital arteries supplying the adjacent sides of adjacent fingers. They are accompanied by the common digital nerves (branches of the median and ulnar nerves). Division of a common digital artery produces ischaemia of both adjacent digital sides.
| Origin | Superficial palmar arch (first, second, third, and fourth) |
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Finger replantation requires anastomosis of the proper digital arteries distal to the bifurcation of the common digital arteries. The close relationship between the common digital arteries and common digital nerves means that lacerations in the palm frequently involve both structures simultaneously. Proper identification requires meticulous haemostasis and loupe magnification.
Common digital artery injury in palm lacerations producing finger ischaemia requiring microsurgical repair of both artery and accompanying digital nerve.
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