Hand injuries are a common presentation to general practice and optimal hand function is essential for good quality of life. This article outlines an approach to the initial assessment of hand injuries, explains the principles of management and provides an overview of common hand injuries.
Connective tissue is present in all muscles as fascia. Enclosing each muscle is a layer of connective tissue known as the epimysium; enclosing each fascicle is a layer called the perimysium, and enclosing each muscle fiber is a layer of connective tissue called the endomysium.
A. Connective tissue in the form of epimysium, perimysium, and endomysium surrounds the components of striated muscle as described above. B. Skeletal muscle is generally connected to bone via a piece of connective tissue called a tendon. C. As mentioned above, individual muscle cells are syncytial (That is to say, each striated muscle cell contains multiple nuclei (multinucleate).