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.
The fascicles are bundled together and surrounded by another layer of connective tissue called the. perimysium. , which also fills the spaces between the fascicles. Several layers of fibrous connective tissue called the epimysium, which surrounds the entire muscle, then cover the perimysium.