We should be cautious with penetrating volar hand lacerations.     Check out the three papers mentioned.   R. Nassab, K. Kok, J. Constantinides, V. Rajaratnam, The diagnostic accuracy of clinical examination in hand lacerations, International Journal of Surgery, Volume 5, Issue 2, 2007, Pages 105-108, https://www.sciencedirect.com/science/article/pii/S1743919106001270?via%3Dihub   Dehghani, M., Shemshaki, H., Eshaghi, M. A., & Teimouri, M. (2011). Diagnostic accuracy of preoperative clinical examination in upper limb injuries. Journal of Emergencies, Trauma and Shock, 4(4), 461-464. https://doi.org/10.4103/0974-2700.86629   L. Amsallem, J. Pierrart, J.-D. Werthel, D. Delgrande, T. Bihel, J. Sekri, D. Zbili, T. Lafosse, E.H. Masmejean, Hand injury without any deficit: Is systematic surgical exploration justified?, Hand Surgery and Rehabilitation, Volume 38, Issue 1, 2019, Pages 20-23, https://pubmed.ncbi.nlm.nih.gov/30249493/     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice always consult your usual doctor

Broadcast on:

13 Jan 2023