Fig. 7. Example of a case where a deep flexor tenotomy was selected based on first exam venograms (A) 45 days after a grain overload. Note more linear coronary plexus with dorsoproximally displaced coronary papillae. Sublamellar zone is thickened with enhanced visualization of axial veins of the dermal lamina. Dorsoproximal displacement of the circumflex vessels above the tip of the CB. B, 30 days and C, 1-year post-tenotomy. Note improved coronary plexus shape with more normally placed papillae, improved circumflex anatomical restructuring, and better solar papillae visualization.