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Journal of Hand Surgery (British and European Volume)
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*Hand Injuries and Disorders
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Articles

Hand Lacerations

An audit of clinical examination

J. PATEL
R. COULL
P. A. HARRIS
N. J. PERCIVAL

From the Department of Plastic Surgery, Charing Cross Hospital, London, UK

Correspondence: J. Patel FRCS, 10 Sutherland Avenue Road, Ealing, London W13 8LE. UK.

Over a 6-month period 147 consecutive deep hand lacerations referred to a plastic surgery department were explored in 136 adult patients. At operation 121 complete tendon divisions, and 72 nerve injuries were found. Accident and emergency (A&E) officers diagnosed only 64% of tendon divisions compared with 84% for the admitting hand surgeons. Nerve injuries were more accurately diagnosed, 87% by A&E officers compared with 94% by hand surgeons. These findings support the view that significant palmar hand lacerations should be referred for a hand surgery opinion.

Journal of Hand Surgery (British and European Volume), Vol. 23, No. 4, 482-484 (1998)
DOI: 10.1016/S0266-7681(98)80127-7
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