Cosmetic Outcome at 4 Months in Hand and Feet Lacerations in Children: Conservative Versus Suture Repair

Inclusion Criteria: * Any English-speaking child, 2 to 17 years of age that presents to the emergency department at Cardinal Glennon Children's Medical Center with a hand or foot laceration less than or equal to 2 cm is eligible for the study. Exclusion Criteria: * Patients will be excluded if their laceration is greater than 2 cm, have irregular borders or are, deeper than 0.5 cm. * Wounds that are the result of a mammalian bite, * Wounds more than minimally contaminated on visual inspection or are more than 8 hours old. * Wounds associated with an open fracture, involve a partial amputation or involve a puncture wound. * Wounds that involve the nailbed or a fingernail avulsion will be excluded. * Patients with confirmed or suspected retained foreign bodies in the wound would also be excluded. * Patients will also be excluded if hemostasis could not be attained after 15 minutes of pressure. * Patients with complex lacerations who need plastic surgery or other sub-specialty repair will be excluded. * Complex lacerations include: associated or suspected neurovascular, tendon, ligament, or bone injury, need for deep/multi-layer sutures will be excluded. * Patients with known or suspected immunodeficiency, bleeding or clotting disorders, pregnancy, diabetes, renal dysfunction, or allergic reaction to local anesthesia are also excluded. * Patients with a history of anticoagulant or chronic steroid use in the last year. Chronic steroid use is defined by use of steroids (PO, IV,…