Hand Trauma: A prospective observational study reporting diagnostic concordance in emergency hand trauma which supports centralised service improvements

Hand injuries are common, contributing up to 30% of accident and emergency (A&E) attendances. The aim of this study was to prospectively analyse the pathological demographic of hand injuries, and compare clinical with intra-operative findings, in a level 1 trauma centre Hand Trauma Unit with direct A&E links. The null hypothesis was that no differences would be demonstrated between clinical and intra-operative findings (100% diagnostic concordance).

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