Document Detail

Prevention and surgical management of postburn contractures of the hand.
MedLine Citation:
PMID:  24288147     Owner:  NLM     Status:  PubMed-not-MEDLINE    
In addition to burn surgeons, skilled nurses, and therapists, hand surgeons are a key part of the multidisciplinary team caring for patients following thermal injury to the hand. Despite appropriate initial treatment and compressive therapy, contractures are common after deep burn. The most common and functionally limiting are web space and hand contractures. Web space contractures can be managed with excision followed by local soft tissue rearrangement or skin grafting. The classic burn claw hand deformity includes extension contracture of the metacarpophalangeal joints and flexion contractures of the proximal interphalangeal joints. The mainstay of management of these postburn contractures includes complete surgical release of scar tissue and replacement by full-thickness skin graft. In cases in which scar contracture release results in major exposure of the tendons or joints, distant tissue transfer is required. This review focuses on prevention and management of late sequelae of thermal injury to the hand focusing on contractures of the webspaces and hand.
Duretti T Fufa; Shiow-Shuh Chuang; Jui-Yung Yang
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Current reviews in musculoskeletal medicine     Volume:  7     ISSN:  1935-973X     ISO Abbreviation:  Curr Rev Musculoskelet Med     Publication Date:  2014 Mar 
Date Detail:
Created Date:  2014-04-07     Completed Date:  2014-04-07     Revised Date:  2014-07-14    
Medline Journal Info:
Nlm Unique ID:  101317803     Medline TA:  Curr Rev Musculoskelet Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  53-9     Citation Subset:  -    
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