Hand injuries are a frequent reason attended by the emergency department (ED) worldwide. Common literature estimates 5–10 % of attendances in the USA and an estimated 20 % in Europe . Moreover, they appear to be the leading cause of occupational injuries in the USA  and in other countries like India with incidence reported of 361/10,000 industrial workers per year with 50 % of those secondary to hand entrapment . Lacerations are the most frequent, followed by fractures, sprains and contusions. These injuries and associated disabilities have devastating consequences, if treated inappropriately in the ED.
KeywordsComplex Regional Pain Syndrome Scaphoid Fracture Distal Phalanx Metacarpal Fracture Proximal Fracture
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