Simple cuts or wounds in the hand can cause injury to many critical structures such as nerves, arteries, tendons and joints which are in close proximity to each other. Owing to the moving parts in the hand and proximity to the overlying skin, wounds should be assessed carefully. Structures that are commonly at risk from sharp lacerations include, nerves, arteries and tendons. Blunt wounds from falls, bite wounds, industrial machinery can be contaminated and cause additional risk of infection. These wounds should be thoroughly irrigated and left open if there is ongoing risk of infection with antibiotics, tetanus and sometimes the need for surgical cleaning (debridement).