[Skip to Content]
[Skip to Content Landing]
May 27, 1974

Management of Acute Hand Injuries: A Biological Approach

Author Affiliations

Harvard Medical School Boston

JAMA. 1974;228(9):1166-1167. doi:10.1001/jama.1974.03230340064043

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


The scope of this interesting compilation of basic scientific data, with their clinical application to practical matters, is so extensive that a clear picture is impossible to give in brief. There are three major sections, each concerning "management" from a different point of view. The first is on the biological evidence, the second, on the clinical techniques, the third, on the postoperative problems. The authors consider that the second of these "has reached a plateau" and that advances will be made only in the first and third areas. Nevertheless the surgeon responsible for the care of acute hand injuries will find the second section enlightening. Understanding the basic biological principles discussed in the earlier section will add even greater meaning to the treatment of the clinical problem.

"Wound Healing and Tissue Coverage," of vital importance for the hand, is the title of chapter 1. Collagen synthesis, wound contraction and remodelling,