ABSTRACT
Pediatric hand trauma remains somewhat of a black box even to the most experienced traumatologist. In multisystem trauma, life-threatening injuries must be addressed first. However, for best long-term results hand injuries must be recognized early and the hand surgeon should be involved as soon as possible. This is especially true for open, vascular, or potential nerve injuries. It is also important to keep in mind that, due to the peripheral location of the hand, the hand surgeon can easily perform at least temporizing procedures while the trauma surgeon or neurosurgeon is operating on the trunk or head.
