Digital Arterial Occlusion in Scleroderma: Is There a Role for Digital Arterial Reconstruction?

A 47-year-old patient with Raynaud’s phenomenon secondary to scleroderma developed long finger ischaemic pain. This was successfully treated with a palmar sympathectomy and a long finger digital artery reconstruction using a reversed small calibre vein graft between a perforator from the deep palmar arch and the radial digital artery at the level of the distal interphalangeal joint.