General considerations

Abstract

The following conclusions are made: during examination, the mere attitude of the injured hand may aid in suggesting the diagnosis. It is essential to plan for rehabilitation of the hand during the initial evaluation. Often simple methods of wound coverage are safer and more predictable than complex flaps. No viable part of the hand should be discarded if it can be used to restore some other part of the injured hand. Correct dressings and splints are required to rest the injured part; like all treatments, dressings may facilitate or retard healing.