What are the guidelines for managing soft tissue injuries in the hand, including splinting and follow-up care?

Management of soft tissue injuries of the hand involves careful splinting and follow-up care to maintain function and prevent complications.

Splinting should avoid positions that may cause loss of function or future complications, and bespoke thermoplastic splints should be offered as early as clinically possible to maintain range of movement in the hands and fingers.

People with complex hand injuries should be referred to a hand therapy specialist for tailored rehabilitation.

Monitor for pressure effects on the skin caused by splints, especially in individuals with reduced sensation or recent skin grafts, and seek advice from tissue viability or plastic surgery specialists as needed.

Swelling and oedema management includes educating patients about expected swelling, daily monitoring, and signs that require medical attention.

Circulation exercises and elevation of the affected limb should be started early to prevent and reduce swelling.

Compression bandaging may be considered under specialist supervision, such as from hand therapy specialists.

Scar management involves helping patients desensitise the affected area by encouraging them to look at, gently touch, and move the injured limb.

Reassure patients that pain and itchiness are normal sensations during recovery and may change over time.