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Penetrating injuries

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Penetrating wounds of the hand, particularly of the palm, are deceptive and need to be carefully assessed.

Check posture, movement, sensation and circulation distally.


  • injuries over a tendon or joint: risk of serious damage or infection
  • all bite wounds: assume they are contaminated and need debridement
  • if any possibility of glass or other foreign body in the wound
  • high pressure injuries (from tools using compressed air or liquid): tissue damage may be concealed and extensive

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