TY - JOUR T1 - Conservative treatment reduced pain and was as effective as sutures in hand lacerations <2 cm JF - Evidence Based Medicine JO - Evid Based Med SP - 60 LP - 60 DO - 10.1136/ebm.8.2.60 VL - 8 IS - 2 A2 - , Y1 - 2003/03/01 UR - http://ebm.bmj.com/content/8/2/60.abstract N2 - (2002) BMJ 325, 299. Quinn J, Cummings S, Callaham M, et al.. Suturing versus conservative management of lacerations of the hand: randomised controlled trial.. ;. :. –300.OpenUrlAbstract/FREE Full Text
 
 QUESTION: In patients with hand lacerations, is conservative treatment as effective as suturing? Randomised (allocation concealed*), blinded (primary outcome only),* controlled trial with 3 months of follow up. Emergency department of a university hospital in San Franciso, California, USA. 95 patients (mean age 39 y, 54% men) who had lacerations distal to the volar wrist crease. Exclusion criteria were lacerations >2 cm long; presentation >8 hours after the injury; inability to attain haemostasis after 15 minutes; neurovascular, tendon, or bone injury; lacerations that were of the nail bed, puncture wounds, or secondary to a bite from any source; complications from diabetes; use of anticoagulants; or prolonged use of steroids. Follow up at 3 months was 85%. Patients were allocated to conservative treatment (n=48) or … ER -