Hand Trauma

Royal Devon and Exeter Trust Plastic Surgery Service accept the following injuries:

• All soft tissue injuries including muscle, tendon, nerve and blood vessel distal to the elbow.
• Bony injuries with or without associated soft tissue injuries distal to the carpus.
• Dislocations of the carpometacarpal joints.
• Fractures of the metacarpal bases that involve distal carpal bone avulsion fractures.

Orthopaedics see all closed carpal bone fractures, all closed carpal dislocations and all open and closed distal radial/ulnar fractures.

Open carpal bone fractures may need a joint plastic surgery and orthopaedic approach and should be discussed with both teams on call.

Source: "Referral of Urgent/Emergency Hand Surgery to Orthopaedics/Plastic Surgery" Royal Devon and Exeter Trust Protocol