One of the few muscles or myocutaneous flaps in the hand available to
cover soft-tissue defects without compromising significantly the hand'
s function and appearance is the abductor digiti minimi muscle. A tech
nique that harvests the abductor digiti minimi flap with a small skin
island from the hypothenar eminence allows direct closure of the skin
following ADM transposition and makes it possible to directly monitor
the blood supply to the muscle. This skin island is much smaller than
others previously reported.