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Pediatric emergency medicine trisk 3344 3344

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joints may be amenable to repair by the emergency physician. Extensor tendon
lacerations involving the MCP joints or digits, as well as all flexor tendon
lacerations, require care by a hand specialist. In consultation with the surgeon,
closure of the skin and splinting may comprise appropriate care in the emergency
department, with close follow-up for operative exploration and repair.

FIGURE 109.4 Image demonstrating a palmar laceration after sutured repair with the absence
of skin wrinkling in a median nerve distribution suggestive of a median nerve injury. (Courtesy
of Children’s Orthopaedic Surgery Foundation.)

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