Hand injuries involving tendons, arteries, and nerves are complex and often interrelated. This comprehensive guide provides insights into these types of injuries, their causes, symptoms, diagnostic procedures, treatments, and potential complications.
A short walk-through of our Lucknow clinic, a brief introduction from Dr. Amit Agarwal, and how to reach us.
A quick tour of Kayakriti clinic, Lucknow
Meet Dr. Amit Agarwal
How to reach the clinic
Hand injuries involving tendons, arteries, and nerves are complex and often interrelated. This comprehensive guide provides insights into these types of injuries, their causes, symptoms, diagnostic procedures, treatments, and potential complications.
Tendons are cord-like structures that run from the forearm, through the wrist and hand, and into the fingers. They play a crucial role in enabling finger and thumb movements for gripping, making fists, and opening hands.
On the other hand, there are two main types of tendons:
Flexor Tendons: These tendons, located on the palm side, facilitate finger bending, allowing us to grip objects.
Extensor Tendons: Situated on the back of the hand and forearm, extensor tendons enable finger and wrist extension for hand opening.
Tendon injuries typically result from cuts or sudden, forceful pulls against the tendon. Flexor tendon injuries commonly occur when there is a cut on the palm side of the hand, while extensor tendon injuries are associated with cuts on the back of the hand and forearm.
Injuries to hand tendons often result from accidents, such as workplace incidents, road traffic accidents, glass cuts, or household mishaps. Symptoms include an inability to move the affected finger, loss of bending or straightening capability, and pain during movement. Tendon injuries can be accompanied by bone injuries.
The management of tendon injuries involves:
The hand receives dual blood supply from the radial and ulnar arteries. Fingers also have dual blood supply on either side.
Arterial or venous injuries may occur due to sharp cuts, avulsion injuries, or crush injuries.
Arterial injuries present as emergencies with active bleeding. Immediate control through pressure and limb elevation is critical. Veins can often be safely ligated, but arteries should preferably be repaired to restore blood flow.
If both the major arteries (radial and ulnar) of the hand or finger are cut, then the hand is devoid of blood supply completely. The patient will have a white cold hand without any sensation or movement.
Immediate and emergency surgery should be done within 6 hours of the injury and both the arteries should be anastomosed microsurgically. This procedure is called a revascularization procedure which is totally different from reimplantation of cut body parts after amputation.
If a major artery is ligated inadvertently by anyone or a Primary Health caregiver, then arterial repair should be done by an experienced hand surgeon as early as possible with or without the help of a vein graft.
Complications may include arterial spasm, blood clot formation, or rupture at the repair site if infection occurs.
Injuries can affect the median, ulnar, and radial nerves at various levels in the arm, forearm, and hand. Each nerve has specific functions and areas of distribution.
Untreated nerve injuries can lead to weakness, deformity, muscle wasting, and sensory loss, which may result in unnoticed burns on the fingertips.
Hand injuries involving tendons, arteries, and nerves demand prompt and expert care of an experienced surgeon like Dr. Amit. Timely diagnosis and intervention are essential to prevent complications and restore hand function. These injuries, though complex, can often be successfully managed with surgical techniques and post-operative rehabilitation.
Drag the handle to compare. All photos are real patients shared with consent.
Images shown are intended to provide general treatment insight only. Every patient is unique, and outcomes may vary depending on individual condition and treatment plan.
"Kayakriti Plastic Surgery & Dental Clinic is one of the best clinics — excellent doctors and a very professional team. The clinic is clean, well-maintained, and uses advanced technology. Doctors explain everything clearly and make you feel comfortable throughout the treatment. Highly recommended for both plastic surgery and dental care."
"My big brother had a critical accident in August 2025 — his right foot was injured badly. Thanks to Dr Amit, the plastic surgery was a great success and now he is walking on his feet. Dr Amit is polite, humble, and guided us like family."
"Dr Amit Agarwal is really a very good plastic surgeon — he operated on my leg. The treatment is really very good and the staff behaviour is very nice."
"Dr Amit Agarwal performed surgery for diabetic foot on my father. We were very troubled before going to him; after his treatment the condition is much better. He debrided all the infection and did grafting on the same."
"Dr Amit Agarwal operated on my patient for a congenital defect. A renowned plastic surgeon of Uttar Pradesh with excellent post-operative results. He explains every step of the treatment very nicely and is very determined towards his work."
"Dr Amit is very approachable, so it is easy to talk to him and ask all our queries. Before operating he explains the entire process with all the pros and cons. His staff is well-trained and well-behaved — I had a wonderful experience."
"Dr Amit Agarwal operated on my sister who got burnt two years back, leaving burn scars in her neck area. With the help of tissue expanders he has cured her scars to the utmost. Thank you sir for the treatment."
"Dr Amit Agarwal operated on my child for a congenital defect and has delivered brilliant results. We are completely satisfied with his treatment and recommend him to everyone."
"I consulted Dr Amit Agarwal for my son's gynaecomastia operation. His results have been very good — now my son is much more confident and comfortable with his looks after the operation."
"Dr Amit operated on my patient for a lip augmentation surgery to give her lips a proper cosmetic shape. The post-operative results are very good — she is very satisfied."
"Dr Amit Agarwal operated on my son for gynaecomastia. Due to the puffiness in his chest he felt very embarrassed in public. Thanks to Dr Amit's treatment my son feels much better aesthetically and has gained a lot of confidence about his looks."
"We consulted Dr Amit for cosmetic correction of my daughter's facial profile. He brought her upper jaw forward, surgically improving her appearance. It was a tough operation but the results are phenomenal — we are really satisfied with the look now."
"My son had his fingers joined since birth, causing a lot of functional problems. Dr Amit Agarwal performed syndactyly release on him. Now he is much better and there were no issues regarding post-operative complications."
"I got my rhinoplasty done under Dr Amit. The shape of my nose wasn't nice and my facial profile was getting hampered. Dr Amit elevated my nose to give it proper shape — now it is looking fine and I am very satisfied."
"Dr Amit Agarwal operated on my patient for deformed lips. He gave my patient a very aesthetic appearance and we are highly satisfied by the surgery. The cosmetic correction was successful with no complications."
"Dr Amit Sir is really a very good plastic surgeon — great nature, very cooperative staff, excellent scope for cosmetic treatment. Very happy and satisfied with the treatment. It really changed my life and enhanced my confidence."
"Dr Amit Agarwal performed cosmetic surgery on my nephew, who was facing a lot of issues with confidence due to gynaecomastia. After Dr Amit's treatment he is much better and has a boosted confidence level."
"I met a road accident two months back and my ring finger fractured. My orthopaedic doctor recommended Dr Amit for the joint fracture management. After he operated, my condition is much better."
"Dr Amit Agarwal operated on my patient for vascular malformation. He removed the complete swelling through an operation which went well and the results are good. The staff kept us well informed at every step and the whole process went smoothly."
"My patient wasn't satisfied with the aesthetic appearance of her lips. Dr Amit performed a lip augmentation surgery — it made her lips look more full and richer. She is very satisfied with the results."
"We were very troubled after my son met a road accident in which his jaw got fractured. Dr Amit confirmed the diagnosis quickly and proceeded for the surgery — through plating he joined the bones of the jaw and stabilised it. The condition now is much better."
"My brother is diabetic and hurt his leg; the wound was not healing for a long time. Dr Amit debrided all the infected part and covered it with a flap. The wound is now healed — we are lucky we got the correct treatment on time."
All reviews verified on our Google profile.
Personalised reimplantation surgery planning with our FRCS-certified surgical team in Lucknow.
Read morePersonalised fingertip injuries planning with our FRCS-certified surgical team in Lucknow.
Read morePersonalised hand fracture planning with our FRCS-certified surgical team in Lucknow.
Read morePersonalised hand wounds planning with our FRCS-certified surgical team in Lucknow.
Read morePersonalised blast/cracker injury hand planning with our FRCS-certified surgical team in Lucknow.
Read moreOne free video consultation. Honest answers. No pressure.
or call us at +91 96 95 94 0009 +91 96 95 94 0006
