ABSTRACT
Five patterns of muscle circulation, based on studies of the vascular anatomy of muscle, are described. Clinical and experimental correlation of this classification is determined by the predictive value of the vascular pattern of each muscle currently useful in reconstructive surgery in regard to the following parameters: arc of rotation, skin territory, distally based flaps, microvascular composite tissue transplantation, and design of muscle-delay experimental models. This classification is designed to assist the surgeon both in choice and design of the muscle and musculocutaneous flap for its use in reconstructive surgery. 1
Research Question What are the defined vascular pedicles of superficial muscles, and how can these be classified into a simple, consistent mechanism that can be used both to promote flap planning and communicate flap planning among surgeons?
