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.
Bone connective tissue provides structure and support, adipose (or fat) connective tissue insulates and provides energy, and blood connective tissue distributes oxygen to our tissues and removes carbon dioxide. Another integral type of connective tissue is cartilage. The main structural components of our bodies are bone, muscle, and cartilage. Bones are rigid, while muscles bend, stretch, and are flexible. Cartilage connective tissue is the perfect halfway point between these other tissues. It is not as rigid or as hard as bone, and it is also less flexible than muscle.