The hand is frequently injured by accidents either at work or at home. Hand injuries account for 5-10% of emergency department (ED) visits nationwide.
The most common mechanisms of injury are blunt trauma (eg, crush injury, contusions, abrasions), laceration, avulsion, ring avulsion, and burns. Besides skin and superficial tissues, the muscles, ligaments, and tendons of the hand are vulnerable to injury, as are the nerves and blood vessels that supply these structures.
Damage to these structures can create permanent functional and/or sensory deficits specific to the site of injury. All Hand Injuries require careful physical examination to rule out damage to the underlying structures and will frequently require surgery to explore the wounds and repair any injured structures.
Lacerated tendons, nerves and arteries can be repaired and with good rehabilitation, can regain excellent function.
Written by Dr Mark Nabarro, orthopaedic specialist