venous flares

Venous flares

• subdermal
• commonly seen at medial malleoli
• a/w superficial stem perforators and/or deep venous incompetence
• indicative of incompetence direct perforating vein above the calf
• to determine the site of incompetent perforating vein :

1. draw imaginary line extended from the anterior and posterior borders of venous flare
2. the point it crosses is the incompetent perforating vein