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Emerg Med Clin North Am. 2020 Feb;38(1):61-79. doi: 10.1016/j.emc.2019.09.004.

The Emergent Evaluation and Treatment of Hand and Wrist Injuries: An Update.

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Department of Emergency Medicine, University of British Columbia, Diamond Health Care Centre 2775 Laurel Street 11th floor, Vancouver, British Columbia V5Z 1M9, Canada.
Department of Emergency Medicine, Whistler Health Care Centre, University of British Columbia, 4380 Lorimer Road, Whistler, British Columbia V8E 1A7, Canada.
Department of Emergency Medicine, University of Maryland School of Medicine, UM Upper Chesapeake Health System, 500 Upper Chesapeake Drive, Bel Air, MD 21014, USA. Electronic address:


Injury patterns of the hand and wrist can be complex and challenging for the emergency physician to diagnose and treat. The ability of the hand to perform delicate maneuvers requires a very intricate interplay of bones, ligaments, and tendons. Unfortunately, due to the omnipresence of the hand, the hand and wrist are commonly injured. These injuries can be debilitating if not treated correctly and can be both time-consuming and fraught with medicolegal risk. This article provides the necessary knowledge to diagnose and treat common hand and wrist injuries encountered in the emergency department.


Carpal bones; Dislocation; Distal radius; Fracture; Orthopedics; Phalanx; Wrist injury

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