Management of the Acutely Burned Hand
| Autor: | Kevin P. Yakuboff, Anthony T. Vu, Brian S. Pan |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Reconstructive surgery Activities of daily living Hand function medicine.diagnostic_test business.industry Gold standard Hand Injuries Hand therapy Physical examination Plastic Surgery Procedures Activities of Daily Living Hand Deformities Acquired medicine Physical therapy Humans book.journal Orthopedics and Sports Medicine Surgery Burns Intensive care medicine business Total body surface area book Muscle contracture |
| Zdroj: | The Journal of Hand Surgery. 40:1477-1484 |
| ISSN: | 0363-5023 |
| Popis: | Despite contributing a small percentage to the total body surface area, hands are the most commonly burned body part and are involved in over 90% of severe burns. Although the mortality of isolated hand burns is negligible, morbidity can be substantial given our need for functioning hands when performing activities of daily living. The greatest challenges of treating hand burns are 2-fold. First, determining the depth of injury can be difficult even for the most experienced surgeon, but despite many diagnostic options, clinical examination remains the gold standard. Second, appropriate postoperative hand therapy is crucial and requires a multidisciplinary approach with an experienced burn surgeon, hand surgeon, and hand therapist. Ultimately, the goals of treatment should include preservation of function and aesthetics. In this review, we present an approach to the management of the acutely burned hand with discussion of both conservative and surgical options. Regardless of the initial treatment decision, subsequent care for this subset of patients should be aimed at preventing debilitating postburn scar contractures that can severely limit hand function and ultimately require reconstructive surgery. |
| Databáze: | OpenAIRE |
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