Objective:To evaluate the efficacy of transfer of the first metacarpal flaps with vascular pedicle in treatment of the ischemic necrosis of scaphoid lunatum.
These muscles include the flexor digitorum profundus which flexes the fingers at the interphalangeal joints, and the extensor digitorum which hyperextend them at the metacarpal phalangeal joint.
Finally, both the ulnar and median nerves innervate the lumbricals, which are 4 muscles that extend the fingers at the interphalangeal joints, and keep them flexed at the metacarpal phalangeal joints.