Hoyt K Sue, Ramirez Elda G
Hahn School of Nursing and Health Science, Beyster Institute for Nursing Research, University of San Diego, San Diego, California (Dr Hoyt) University of Texas Health Science Center, Houston (Dr Ramirez).
Adv Emerg Nurs J. 2017 Apr/Jun;39(2):86-96. doi: 10.1097/TME.0000000000000148.
Assessment of Acute Hand Injuries was discussed in Part I (). Part I reviewed approaches to the assessment of the patient with a hand injury and established a process for basic identification of the hand structures and function. Approaches to history taking and specific evaluations for the hand were discussed, and examples of the assessments were provided. Diagnostic approaches to support physical findings were discussed, and methods of radiological assessment provided assistance to the audience in making appropriate diagnosis in relation to hand injuries. Management of bony hand injuries was discussed in Part II. In Part II, the authors also described the epidemiology, radiographs, and the management of hand lacerations, fingertip injuries, and fractures. In this article, Part III, the management of tendon, ligamentous, neurovascular, and other specific hand injuries, along with the management of selected chronic hand conditions, is discussed.
第一部分（ ）讨论了急性手部损伤的评估。第一部分回顾了手部损伤患者的评估方法，并建立了手部结构和功能基本识别流程。讨论了病史采集方法和手部的具体评估方法，并提供了评估示例。讨论了支持体格检查结果的诊断方法，放射学评估方法为读者对手部损伤做出适当诊断提供了帮助。第二部分讨论了手部骨损伤的处理。在第二部分中，作者还描述了手部撕裂伤、指尖损伤和骨折的流行病学、X线片表现及处理方法。在本文（第三部分）中，将讨论肌腱、韧带、神经血管及其他特定手部损伤的处理，以及某些慢性手部疾病的处理。
