[Complex Regional Pain Syndrome (CRPS) - State of the Art in Diagnostics and Therapy].

The complex regional pain syndrome (CRPS) usually occurs within a few weeks in 2-5% of all patients after trauma or surgery or subsequent measures of the distal extremities. There are certain risk factors for its occurrence but no "CRPS personality", instead there are factors that negatively influence the course. The prognosis is generally good ("rule of thirds"), but remaining limitations are common.

[Moschella island flap for coverage of thumb defects].

Objective: The homodigital island flap according to Moschella is used to cover palmar and radiodorsal soft tissue defects of the thumb.

Indications: Soft tissue reconstruction of the thumb with exposed bone and/or tendon if reconstruction of the soft tissue is required.

Contraindications: Extensive scars in the harvesting area of the flap; vascular occlusions of the radial artery.