Direct to an emergency department for:

  • Complex hand fractures 
  • Multiple metacarpal fractures
  • Fracture significantly displaced, angulated, rotated, unable to be reduced 
  • Open facture(s)
  • Unstable fracture
  • Deep hand or finger infections
  • Suspected neurovascular compromise.

Criteria for referral to public hospital service

Not applicable

Information to be included in the referral

Information that must be provided

Not applicable

Provide if available

Not applicable

Additional comments

The Summary and referral information lists the information that should be included in a referral request.

Patients with these types of acute hand fracture should be referred to an appropriate emergency department for assessment or managed in primary care (including hand therapy). Public hospital specialist clinics should not receive any referrals for types of acute hand fracture.

Where appropriate and available the referral may be directed to an alternative specialist clinic or service.

Referral to a public hospital is not appropriate for

Not applicable