Management of pediatric hand burns

Abstract

For a successful outcome of the burned hand, the interdisciplinary involvement and cooperation of the plastic and pediatric surgeon, hand therapist, burn team, patient and their parents are crucial.

The blister fluid proteome of paediatric burns

“…The superficial burns were predominantly superficial-partial thickness burns as most superficial burns are not severe enough to cause blister formation. Both superficial and superficial partial thickness burns can heal relatively quickly without scarring and the same wound management is used for wounds in both of these classifications [27], as such it was appropriate to combine them. Additionally, full thickness burns in children typically do not blister in areas of extreme damage within the wound site and as such there were fewer samples collected for this severity.…”

490 Outcomes of End of Range Axilla Splinting in Children Following Burn Injury

“…Contracture of the hand and wrist can result in less than optimal hand function following burn injury. 95 Similar to the effect of axilla contracture on upper limb function discussed in Chapter 2.1, BSC of the hand and wrist may impair an individual's ability to perform manual tasks. Clinical practice guidelines recommend positioning the hand and wrist post burn injury with the metacarpophalangeal (MCP) joints in 70-90 flexion, the interphalangeal (IP) joints in full extension, the carpometacarpal (CMC) joint of the thumb in a combination of radial and palmar abduction and the wrist in neutral or slight extension.…”

Thermische Handverletzungen im Kindesalter

“…1). Dabei ist der größte Anteil der Kinder jünger als 2 Jahre [2,5]. In dieser Altersklasse treten auch gehäuft elektrische Verletzungen an den Händen durch den Kontakt mit Stromdosen, Kabeln oder elektrischen Geräten auf.…”

“…Eine Reihe von Autoren empfiehlt zudem bei den FTSG eine temporäre Gelenktransfixation der IP-und MCP-Gelenken mittels perkutaner K-Drähte, um die Einheilung der Voll-hauttransplantate zu verbessern [21,26]. Bei FTSG ist neben der Narbenbildung zudem das Risiko für Komplikationen wie Wundinfektionen im Bereich der Entnahmestelle höher [4,5]. Das erhöhte Wundinfektionsrisiko insbesondere in der Leistenregion ist unter anderem auf die erhöhte Kontamination durch das Tragen von Windeln der Kleinkinder zurückzuführen.…”