Foucher’s flap is one of the ideal flaps to cover traumatic defect of the pulp and dorsum of the thumb. Though ideally described for thumb defects with some shortening, it has been proved beyond doubt that it can also be requisitioned to resurface thumb defects without shortening. In the latter indication, it is necessary to harvest the flap up to the dorsum of the PIP joint. However, the distal 1/3 of such a first dorsal metacarpal artery (FDMA) flap becomes a random part of the axial artery flap and hence carries some risk of marginal necrosis. It is surmised that the survival of such a flap is ultimately determined by the relative length of index and thumb. Normally, the tip of the adducted thumb roughly reaches upto 70% of the length of the proximal phalanx of the index finger (32% of the index finger length beyond MP joint); [1,2] such thumbs being ideally suited for conventional FDMA flaps. Individuals with thumb length more than 70% of the proximal phalanx of index finger are the ones likely to need an extended FDMA flap i.e. wherein flap is harvested beyond the PIP joint. One more ambiguous parameter of this flap is the amount of blood supply which comes alongwith the superficial branch of radial nerve. We know that every superficial nerve is accompanied by an artery and vein of its own supplying the skin and integument. Being a neuro-sensory flap, it is an ideal flap for pulp of thumb which restores an acceptable level of sensation, however, it may not match Littler’s neuro-vascular island flap because of poorer cortical reorientation. Kulkarni et al. [3] need to be congratulated for describing one more indication for FDMA flap. Though small traumatic defects on the radial side of the palm are rare, when encountered, this flap is really handy when compared to the alternatives. These flaps are also used in reconstructive surgeries following post burn scar contracture release, [4] syndactyly release, and partial loss of reimplanted thumb. [5] Donor-defect following this flap usually needs split skin graft or full-thickness skin graft. These usually do not give rise to functional deficit. Cosmesis, however, will be a consideration. This can be avoided if one harvests only adipofascial flap to cover