Document Detail


Proximal interphalangeal joint autofusions after extensive burns.
MedLine Citation:
PMID:  8027896     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Seven patients with third-degree burns of > 70% of their body had autofusions of 19 proximal interphalangeal joints. In 13 of the joints there was fixed deformity of > 60 degrees. In addition to these deformities, each of the patients had deformities due to burns in the axilla and elbows bilaterally. There was only one independently functional hand and in that hand no proximal interphalangeal joint deformity was > 40 degrees. Two patients were totally dependent because of either bilateral involvement or infectious complications of the burn itself. In four patients the hand was used as a helping hand to some extent. In each of these four the patient had a less involved other hand and had satisfactory activity of daily living skills as a consequence. Early splinting or skeletal fixation of burned joints developing flexion positions might have avoided autofusions in poor position.
Authors:
M Hoffer; J Lankenau; T Wellisz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of orthopaedic trauma     Volume:  8     ISSN:  0890-5339     ISO Abbreviation:  J Orthop Trauma     Publication Date:  1994  
Date Detail:
Created Date:  1994-08-11     Completed Date:  1994-08-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8807705     Medline TA:  J Orthop Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  249-51     Citation Subset:  IM    
Affiliation:
Department of Surgery, Rancho Los Amigos Medical Center, Downey, California.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Adult
Burns / complications*,  therapy
Child
Finger Injuries / etiology*,  rehabilitation*
Finger Joint
Hand Deformities, Acquired / etiology*,  rehabilitation
Humans
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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