Primary repair should occur within 12hr; secondary repair can occur up to 4wk after injury<unk>  surgeon should repair all flexor<unk>  lacerations
If<unk>  surgeon is not immediately available:
Irrigate open wounds and close with 5-0 nylon
Most advocate antibiotics
Splint<unk>  with:
Wrist in 30 deg of flexion
MCP joints in 70 deg of flexion
IP joint flexed 10-15 deg of flexion
Irrigate open wounds and close with 5-0 nylon
Most advocate antibiotics
Splint<unk>  with:
Wrist in 30 deg of flexion
MCP joints in 70 deg of flexion
IP joint flexed 10-15 deg of flexion
Wrist in 30 deg of flexion
MCP joints in 70 deg of flexion
IP joint flexed 10-15 deg of flexion
Most common site of<unk><unk>  b/c of superfical location on dorsum of<unk> 
If<unk>  lac suspected but unable to be located it is ok to refer to specialist within 3d
Delayed repair up to 7-10d usually has equal outcome to immediate repair
Zones V-VII Splinting (after repair)
Requires splinting with:
Wrist in 15 deg extension
MCP joint in 15 deg flexion
IP join in 15 deg flexion in involved and adjacent digit
Delayed repair up to 7-10d usually has equal outcome to immediate repair
Requires splinting with:
Wrist in 15 deg extension
MCP joint in 15 deg flexion
IP join in 15 deg flexion in involved and adjacent digit
Wrist in 15 deg extension
MCP joint in 15 deg flexion
IP join in 15 deg flexion in involved and adjacent digit
Hand and finger tendon injuries
Distal finger
Hand deep space infection
Finger amputation
Hand and finger dislocations
Fingertip laceration
Hand and finger infections
Nail avulsion