Hand and Wrist Trauma

Hand and wrist Trauma

Hand and wrist trauma includes a variety of injuries. It may include damage to the tendons, nerves, skin, bones or joints of the hand and wrist. Injuries that involve a cut or injury to the skin, should be assessed in the emergency department on the day of injury. 

Non urgent injuries such as closed (no skin laceration) fractures, tendon injuries or ligament injuries should be assessed at the latest within 2 weeks of injury. However, early assessment of any injury is advisable to achieve optimal outcomes.

A variety of treatments may be employed to gain the best outcome. These may include hand therapy and splints, or casts or surgery. 

Injuries may include:

Fractures: 

  • Phalanx fractures
  • Metacarpal fractures
  • Carpal bone fractures including scaphoid fractures
  • Distal radius fractures

Tendon Injuries:

  • Flexor tendon 
  • Extensor tendon 

Soft tissue Injuries:

  • Skin 
  • Ligament 
  • Capsule
  • Nail bed
  • Nerve
  • Vessel