Abstract
Upper extremity traumas presented an exponential rise not only in quantity but also in complexity over the last years. Therefore, the initial approach when the patient arrives at the emergency room is very important to minimize posterior sequels of an unappropriated assessment. Initial assessment (fast and objective) facilitates the treatment, improves the final outcome, decreases the sequels, and allows an early rehabilitation. Most of the injuries occur at the same time (more than one associated injury).