Treatment of combined hand injuries

Combined hand trauma is observed in 85.5% of cases in persons under 50 years of age and leads to loss of professional ability to work in 41.8% of cases and to disability in 19-43% of cases. Therefore, treatment of concomitant hand injuries remains an urgent problem at the present time. Due to diagnostic errors, 61.3% of patients with median and ulnar nerve injuries refer to specialists only 3 months after injury. Simple diagnostic tests have been suggested: inability to oppose the I finger, inability to grasp a cylindrical object with the I finger, which is typical for median nerve injury. If a patient cannot cross II and IV fingers over or under III finger, it indicates ulnar nerve damage, and if he is unable to strike the table with half-bent fingers (II-V), it means the median and ulnar nerves are injured.