Following a hand injury, many structures within the hand may be injured. These structures include the skin, ligaments, tendons, bones, nerves and blood vessels. It may be difficult to assess which, if any, of these structures, are injured and the significance of the injuries. Should the injury be significant, or if in doubt, it is important to have an appropriate qualified medical practitioner assess your injury and direct treatment where required.
Structures that can be injured
Some small skin injuries may heal with nil or minimal treatment. Major skin injuries may require suturing, or reconstructive procedures including the use of skin grafts or flaps. Wounds will often require washing out to reduce the risk of infection.
Some minor ligament injuries require no treatment and will recover spontaneously. Others may need hand therapy to regain motion or a splint to assist healing of the ligament injury. Some ligaments injuries will require surgical repair or reconstruction.
The majority of tendon injuries will require surgical repair, careful splinting and hand therapy to reach maximum recovery following the injury. If mindful care is not undertaken, then stiffness, tendon rupture or lack of function may be the result.