Hand surface area as a percentage of body surface area in Asian children: A pilot study

Determination of hand and palm surface areas as a percentage of body surface area in Turkish young adults

“…Perry et al measured the PSA and found a value of 0.41% in London Medical School students whereas it was estimated as 0.66% in Korean adults [8,27]. Moreover, the same value was represented 0.49 and 0.51 of the body surface area in men and women respectively in Indians [17].…”

“…Hand surface area (HSA) and palm surface area (PSA) are important reference areas in physiology and medicine and mainly used in emergency room for estimation of burned skin area in burn therapy and skin grafting [27]. Moreover, these areas have been utilized for heat exchange in thermal physiology, exposure assesment in toxicology and the development of equipment in ergonomics [21, 28,29].…”

“…Traditionally, the patient's whole hand has been used as an estimate of 1% of the total body surface area for assessing the size of burn [6,7,21,30]. Conversely, Advanced Trauma Life Support teaching uses the area of palm alone (not including the fingers) as 1% [6,8,27,30]. There is a problem with the term "palm" as it can mean either the entire palmar surface of the hand or the palmar surface excluding the five digits [8].…”

“…There is a problem with the term "palm" as it can mean either the entire palmar surface of the hand or the palmar surface excluding the five digits [8]. By a common understanding, the palm of the hand does not include the fingers [6,13,21,27]. The definition of the hand surface is still controversy.…”

“…The definition of the area of the hand surface was not clear in literature, some researchers included digits and some groups did not and another group included the thumb [27]. Meanwhile, it was established that standard doctrine for the hand position, for estimating the surface of the hand, digits were extended and adducted so it was used in this paper [30].…”