Missed hand and forearm injuries in multiple trauma patients: An analysis from the TraumaRegister DGU®

•The main point of our study was to provide new epidemiologic data of hand injuries in multiple trauma with a focus on those that were missed.•In contrast to previous evaluations, our data show no correlation between missing injuries and severity of trauma, severe head injuries or higher AIS for abdomen and thorax.•In opposite to other evaluations, we did not find a correlation between missing hand injuries and higher age. Younger patients involved in car and motorcycle accidents, who have multiple diagnosis and have received medical treatment in the primary hospital are predisposed.•A direct transfer to ICU after emergency room management is a predisposing fact. Therefore, a careful hand evaluation is necessary during primary and secondary survey.