Small lacerations in the hand need not be sutured

Conservative management of uncomplicated lacerations to the hand produces similar cosmetic and functional outcomes as suturing. In a trial by Quinn and colleagues (p 299) 91 patients with full thickness lacerations no longer than 2 cm were randomised to receive sutures or conservative treatment. Patients rated the pain of their treatment, and wounds were assessed after 8-10 days and then again after three months. Outcomes from conservative and suturing treatment were similar, but conservative treatment was faster and less painful.
 
(Credit: GARRY WATSON/SPL)



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Relevant Article

Suturing versus conservative management of lacerations of the hand: randomised controlled trial
James Quinn, Steven Cummings, Michael Callaham, and Karen Sellers
BMJ 2002 325: 299. [Abstract] [Full Text] [PDF]

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Hand wound localization
Henrik J Støren
bmj.com, 8 Jan 2008 [Full text]
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