Injuries of the Hand.
—Bunnell32 pointed out the common errors which should be avoided in the treatment for injuries of the hand. Incisions should be well chosen and of adequate size. They should not sever the tendon pulleys in the fingers nor cut the nerves in the fingers or palms, especially the motor thenar nerve. The most pernicious incision and unfortunately the one usually made was the median longitudinal one, whether in the palm, wrist, finger, pulp, matrix or dorsum of the finger. It wrecked the hand, caused flexion contractures by being at right angles to the flexion creases, cut the pulleys, caused adhesions at the worst place, namely, the gliding surfaces of the tendons, and was poor for drainage. In the fingers the incisions should be midlateral and not anterolateral where they will cut the nerves; in the hand they should follow as much as possible the
WILSON PD, BROWN LT, SMITH-PETERSEN MN, KUHNS J, CAVE EF, GHORMLEY RK, DANFORTH MS, PERKINS G, VAN DESSEL A, BUCHOLZ CH. FORTIETH REPORT OF PROGRESS IN ORTHOPEDIC SURGERY. Arch Surg. 1930;20(2):338-354. doi:10.1001/archsurg.1930.01150080166010