injured in hand

introduction
The aim of this second article is to introduce basic
principles in the management of injured hand. It is
difficult to provide a uniform guideline with
“one injury–one solution” approach, as every case is
different and unique. Detailed description of the
management and surgical techniques of each structure is
beyond the scope of this article.
Hand injuries present either as an isolated injury or as a
component of multiple injuries. In poly-traumatized
patients hand injuries are not uncommon; often these
patients are referred late. Resuscitation, stabilization
and dealing with potentially life threatening injuries
take priority over the injured hand. Haemostasis and
initial wound irrigation along with a scrub of the injured
hand is an acceptable during the initial management of
multi trauma patient. Surgical management of the hand
can be deferred till the patient is stabilized. However,
there can be a significant negative impact on long-term
quality of life if the hand injuries are not treated or

significantly delayed