{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T12:25:56Z","timestamp":1780403156704,"version":"3.54.1"},"reference-count":71,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,5,24]],"date-time":"2018-05-24T00:00:00Z","timestamp":1527120000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100002076","name":"Emergency Medicine Foundation","doi-asserted-by":"publisher","award":["EMPJ\u2010103R22\u20102014"],"award-info":[{"award-number":["EMPJ\u2010103R22\u20102014"]}],"id":[{"id":"10.13039\/100002076","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Acute hand and wrist injuries are a common presentation to the ED and are associated with large individual and societal costs. Appropriate management of these injuries in the ED is crucial given that optimal hand function is essential for daily activities and quality of life. This rapid review investigated best practice for the assessment and management of common closed hand and wrist injuries in the ED. Databases were searched in 2017, including PubMed, CINAHL, EMBASE, TRIP and the grey literature, including relevant organisational websites. Primary studies, systematic reviews and guidelines published in English language in the past 12 years that addressed the acute assessment, management, follow\u2010up plan or prognosis were considered for inclusion. Data extraction of included articles was conducted, followed by quality appraisal to rate the level of evidence. The search revealed 2454 articles, of which 55 were included in the review (<jats:italic>n<\/jats:italic> = 23 primary articles, <jats:italic>n<\/jats:italic> = 26 systematic reviews and <jats:italic>n<\/jats:italic> = 6 guidelines). This rapid review provides clinicians who manage common closed fractures and soft tissue injuries of the hand and wrist in the ED, a summary of the best available evidence to enhance the quality of care for optimal patient outcomes. There is evidence to support taking a thorough history and physical examination with consideration of occupational and functional factors, restoring alignment and immobilising when necessary and referring onwards. Key points regarding the diagnosis and management of these injuries are provided.<\/jats:p>","DOI":"10.1111\/1742-6723.12969","type":"journal-article","created":{"date-parts":[[2018,5,25]],"date-time":"2018-05-25T00:05:47Z","timestamp":1527206747000},"page":"610-640","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Review article: Best practice management of closed hand and wrist injuries in the emergency department (part 5 of the musculoskeletal injuries rapid review series)"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8765-2295","authenticated-orcid":false,"given":"Kirsten","family":"Strudwick","sequence":"first","affiliation":[{"name":"Emergency Department Queen Elizabeth II Jubilee Hospital, Metro South Hospital and Health Service  Brisbane Queensland Australia"},{"name":"Physiotherapy Department Queen Elizabeth II Jubilee Hospital, Metro South Hospital and Health Service  Brisbane Queensland Australia"},{"name":"School of Health and Rehabilitation Sciences The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"McPhee","sequence":"additional","affiliation":[{"name":"Physiotherapy Department Queen Elizabeth II Jubilee Hospital, Metro South Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Bell","sequence":"additional","affiliation":[{"name":"Emergency and Trauma Centre Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service  Brisbane Queensland Australia"},{"name":"Faculty of Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melinda","family":"Martin\u2010Khan","sequence":"additional","affiliation":[{"name":"Centre for Health Services Research Faculty of Medicine, The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trevor","family":"Russell","sequence":"additional","affiliation":[{"name":"School of Health and Rehabilitation Sciences The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,5,24]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2016.06.030"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2016.09.041"},{"key":"e_1_2_8_4_1","volume-title":"Emergency Department Care 2016\u201317: Australian Hospital Statistics","author":"Australian Institute of Health and Welfare","year":"2017"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-016-0432-8"},{"key":"e_1_2_8_6_1","volume-title":"Work\u2010related Hand and Wrist Injuries in Australia","author":"Australian Safety and Compensation Council","year":"2008"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/02844310500340046"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2004.01019.x"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.12906"},{"key":"e_1_2_8_10_1","volume-title":"NHMRC Additional Levels of Evidence and Grades for Recommendations for Developers of Guidelines","author":"National Health and Medical Research Council","year":"2009"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2013-202971"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2009.08.021"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2012.01.026"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-6723.2009.01200.x"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12245-015-0050-y"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2003.007435"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2009.072850"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsb.2006.10.002"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2009.01.107"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.5505\/tjtes.2013.08555"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2013-202485"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1481803500012239"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2006.08.013"},{"key":"e_1_2_8_24_1","first-page":"312","article-title":"Anger scale and anger types of patients with fifth metacarpal neck fracture","volume":"45","author":"Kural C","year":"2011","journal-title":"Acta Orthop. 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