Burns of the hands may result in the most incapacitating deformities, both functional and esthetic. When acute, these deformities represent postural changes and, as such, are transient, yielding rapidly to corrective measures. Without proper preventative management at this stage, these deformities will become fixed and permanent. This paper seeks to briefly describe the role played by early motion and proper positioning (usually with splints) in the optimal rehabilitation of the burned hand. Rehabilitation begins early after injury, requiring the combined efforts of surgeon, therapist and patient. The discussion of such management is divided into an early and late phase.
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References
1.
BoswickJ.A.: Rehabilitation of the burned hand, Clinical Orthopaedics and Related Research No. 104: 162, 1974.
2.
RankB.K.WakefieldA.R.HuestonJ.T.: Surgery of Repair as Applied to Hand Injuries, Churchill Livingstone, Edinburgh and London, 1973: 327–329.
3.
Ibid., 329.
4.
BoswickJ.A.: Rehabilitation of the burned hand. Clinical Orthopaedics and Related Research No. 104: 162–164, 1974.
5.
DupertuisS.M.MusgraveR.H.: Burns of the hand. Surgical Clinics of North America40(2): 322, 1960.
6.
BoswickJ.A.: Management of the burned hand. Orthopedic Clinics of North America1(2): 312, November 1970.
7.
Ibid., 313.
8.
SalisburyRoger E.ReevesSandyWrightPhyllis: Rehabilitation of the burned hand, in Rehabilitation of the hand, Editors: HunterJames M.SchneiderLawrence H.MackinEvelyn J.BellJudith A.The C.V. Mosby Company. Saint Louis1978.
9.
SalisburyR.E.PruittB.A.: Burns of the Upper Extremity, W.B. Saunders Company, Philadelphia, London, Toronto, 1976.
10.
TanigawaMarvin C.O'DonnellOleta K.GrahamPatricia L.: The Burned Hand, A Physical Therapy Protocol. Physical Therapy54(9): September 1974.
11.
HuangTed T.BlackwellSteven J.LewisStephen R.: Ten years of experience in managing patients with burn contractures of axilla, elbow, wrist and knee joints. Plastic and Reconstructive Surgery61(1): January 1978.
12.
LarsonDuane: The prevention and correction of burn scar contracture and hypertrophy. Monograph, Shriners Burn Institute, University of Texas Medical Branch, Galveston, Texas, 1973.
13.
LarsonD.L.AbstonSallyEvansE.B.DobrkovskyM.LinaresH.A.: Techniques for decreasing scar formation and contractures in the burned patient. The Journal of Trauma2(10): October 1971.
14.
WillisBarbara: The use of orthoplast isoprene splints in the treatment of the acutely burned child: preliminary report, theAmerican Journal of Occupational Therapy23(1): 1969.
15.
WillisBarbara: The use of orthoplast splints in the treatment of the acutely burned child: a follow-up. The American Journal of Occupational Therapy24(3): 1970.
16.
WillisBarbara A.LarsonDuane L.AbstonSally: Positioning and splinting the burned patient. Heart and Lung2(5): September–October 1873.
17.
WhitsonT.C.: Management of the burned hand. The Journal of Trauma11(7): 609, July 1971.
18.
BoswickJ.A.: Rehabilitation of the burned hand. Clinical Orthopaedics and Related Research No. 104: 170, 1974.
19.
Von PrinceK.M.P.: Application of fingernail hooks in splinting of burned hands. The American Journal of Occupational Therapy24(8): 556–559, 1970.
20.
FishwickG.M.TobinD.G.: Splinting the burned hand with primary excision and early grafting. The American Journal of Occupational Therapy32(3): 182–183, March 1978.
21.
SalisburyR.E.PruittB.A.: Burns of the Upper Extremity, W.B. Saunders Company, Philadelphia, London, Toronto, 1976: 134–138.
22.
Ibid.
23.
RankB.K.WakefieldA.R.HuestonJ.T.: op. cit. 342.
24.
BrownH.C.: Current concepts of burn pathology and mechanisms of deformity in the burned hand. Orthopedic Clinics of North America4(4): 978, October 1973.
25.
HuangTed T.BlackwellSteven J.LewisStephen R.: op. cit.
BoswickJ.A.: Management of the burned hand. Orthopedic Clinics of North America1(2): 313, November 1970.
31.
RankB.K.WakefieldA.R.HuestonJ.T.: op. cit. 345.
32.
Ibid., 342.
33.
BoswickJ.A.: Management of the burned hand. Orthopedic Clinics of North America1(2): November 1970.
34.
BoswickJ.A.: Rehabilitation of the burned hand. Clinical Orthopaedics and Related Research No. 104: 1974.
35.
BoyesJ.H.: Bunnell's Surgery of the Hand, J.B. Lippincott Company, Philadelphia, Toronto, 1970.
36.
BrownH.C.: Current concepts of burn pathology and mechanisms of deformity in the burned hand. Orthopedic Clinics of North America4(4): October 1973.
37.
DupertuisS.M.MusgraveR.H.: Burns of the hand. Surgical Clinics of North America40(2): 1960.
38.
FellerJ.ArchambeaultC.: Nursing the Burned Patient, Institute for Burn Medicine, Ann Arbor, Michigan, 1973.
39.
FishwickG.M.TobinD.G.: Splinting the burned hand with primary excision and early grafting. The American Journal of Occupational Therapy32(#): March 1978.
40.
HuangTed T.BlackwellSteven J.LewisStepehen R.: Ten years of experience in managing patients with burn contractures of axilla, elbow, wrist and knee joints. Plastic and Reconstructive Surgery61(1): January 1978.
41.
LarsonDuane: The prevention and correction of burn scar contracture and hypertrophy. Monograph, Shriners Burn Institute, University of Texas Medical Branch, Galveston, Texas, 1973.
42.
LarsonD.L.AbstonSallyEvansE.B.DobrkovskyM.LinaresH.A.: Techniques for decreasing scar formation and contractures in the burned patient. The Journal of Trauma2(10): October 1971.
43.
RankB.K.WakefieldA.R.HuestonJ.T.: Surgery of Repair as Applied to Hand Injuries, Churchill Livingstone, Edinburgh and London, 1973.
44.
SalisburyRoger E.ReevesSandyWrightPhyllis: Rehabilitation of the burned hand, in Rehabilitation of the hand, Editors: HunterJames M.SchneiderLawrence H.MackinEvelyn J.BellJudith A.The C.V. Mosby Company, Saint Louis1978.
45.
SalisburyR.E.PruittB.A.: Burns of the Upper Extremity, W.B. Saunders Company, Philadelphia, London, Toronto, 1976.
46.
TanigawaMarvin C.O'DonnellOleta K.GrahamPatricia L.: The Burned Hand, A Physical Therapy Protocol. Physical Therapy54(9): September 1974.
47.
Von PrinceK.M.P.: Application of fingernail hooks in splinting of burned hands. The American Journal of Occupational Therapy24(8): 1970.
48.
WhitsonT.C.: Management of the burned hand. The Journal of Trauma11(7): July 1971.
49.
WillisBarbara: The use of orthoplast isoprene splints in the treatment of the acutely burned child: preliminary report. The American Journal of Occupational Therapy23(1): 1969.
50.
WillisBarbara: The use of orthoplast splints in the treatment of the acutely burned child: a follow-up. The American Journal of Occupational Therapy24(3): 1970.
51.
WillisBarbara A.LarsonDuane L.AbstonSally: Positioning and splinting the burned patient. Heart and Lung2(5): September–October 1973.
