Hand and wrist injuries: Part II. Emergent evaluation
Daniels, J.M.; Zook, E.G.; Lynch, J.M.
American Family Physician 69(8): 1949-1956
2004
ISSN/ISBN: 0002-838X PMID: 15117016 Document Number: 569322
Primary care physicians must be able to recognize wrist and hand injuries that require immediate attention. A complete history and physical examination, including assessment of distal limb function, are essential. Hemorrhage control is necessary in patients with vessel lacerations and amputations. Amputations require an understanding of the indications and contraindications in the management of the amputated limb. High-pressure injection injuries and compartment syndromes require a high index of suspicion for early recognition. Infectious entities include "fight bite," open fractures, purulent tenosynovitis, animal bites, and retained foreign bodies. Tendon disruptions should be recognized early to optimize management.