Additional Information
Book Details
Abstract
This issue of Hand Clinics will include the following articles: Management of Acute Adult Hand Burns; Management of Acute Pediatric Hand Burns; Electrical Injury; Frostbite Injury; The Biologic Principles of Scar and Contracture; Postburn Contractures of the Hand; Biology and Treatment of Upper Extremity Heterotopic Ossificatio; Postburn Contractures of the Elbow and Heterotopic Ossification; Reconstruction of the Adult and Pediatric Burned Hand; Microsurgical Reconstruction of the Burned Hand; The Use of Dermal Skin Substitutes for the Treatment of the Burned Hand; and many more exciting articles!
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Burns\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITORS | iii | ||
| AUTHORS | iii | ||
| Contents | vii | ||
| Preface: Optimizing the Treatment of Burn Injuries of the Upper Extremity\r | vii | ||
| Acute Management of Hand Burns\r | vii | ||
| Management of Acute Pediatric Hand Burns\r | vii | ||
| A 3-Phase Approach for the Management of Upper Extremity Electrical Injuries\r | vii | ||
| Cold Injuries | vii | ||
| The Use of Dermal Skin Substitutes for the Treatment of the Burned Hand | viii | ||
| Biological Principles of Scar and Contracture | viii | ||
| Postburn Upper Extremity Occupational Therapy | viii | ||
| Scar Management of the Burned Hand | viii | ||
| Postburn Contractures of the Hand | viii | ||
| Reconstruction of the Adult and Pediatric Burned Hand | ix | ||
| Microsurgical Reconstruction of the Burned Hand and Upper Extremity | ix | ||
| Heterotopic Ossification Following Upper Extremity Injury | ix | ||
| Postburn Contractures of the Elbow and Heterotopic Ossification | ix | ||
| Outcomes Assessment After Hand Burns | x | ||
| International Disease Burden of Hand Burns: Perspective from the Global Health Arena | x | ||
| HAND CLINICS\r | xi | ||
| FORTHCOMING ISSUES | xi | ||
| August 2017 | xi | ||
| November 2017 | xi | ||
| February 2018 | xi | ||
| RECENT ISSUES | xi | ||
| February 2017 | xi | ||
| November 2016 | xi | ||
| August 2016 | xi | ||
| Preface:\rOptimizing the Treatment of Burn Injuries of the Upper Extremity | xiii | ||
| Acute Management of Hand Burns | 229 | ||
| Key points | 229 | ||
| INTRODUCTION | 229 | ||
| INITIAL EVALUATION OF THE PATIENT | 229 | ||
| ESCHAROTOMY | 230 | ||
| WOUND MANAGEMENT AT PRESENTATION | 232 | ||
| EXCISION AND GRAFTING OF HAND BURNS | 232 | ||
| DEEP HAND BURNS AND RECONSTRUCTION | 234 | ||
| AMPUTATION | 234 | ||
| LONG-TERM OUTCOMES | 235 | ||
| SUMMARY | 235 | ||
| ACKNOWLEDGMENTS | 235 | ||
| REFERENCES | 235 | ||
| Management of Acute Pediatric Hand Burns | 237 | ||
| Key points | 237 | ||
| INTRODUCTION | 237 | ||
| ETIOLOGY | 237 | ||
| ANATOMY | 238 | ||
| TREATMENT GOALS | 238 | ||
| INITIAL EVALUATION | 238 | ||
| ESCHAROTOMY/FASCIOTOMY | 239 | ||
| ESCHAROTOMY | 239 | ||
| FASCIOTOMY | 240 | ||
| WOUND MANAGEMENT | 240 | ||
| SURGICAL MANAGEMENT | 241 | ||
| EARLY REHABILITATION | 242 | ||
| REFERENCES | 242 | ||
| A 3-Phase Approach for the Management of Upper Extremity Electrical Injuries | 243 | ||
| Key points | 243 | ||
| INTRODUCTION | 243 | ||
| INITIAL MANAGEMENT | 244 | ||
| Life over Limb | 244 | ||
| The Secondary Survey | 244 | ||
| Surgical Intervention | 245 | ||
| MAINTENANCE TREATMENT | 245 | ||
| Excise Devitalized Tissue | 245 | ||
| Prevent Infection | 246 | ||
| Soft Tissue Coverage | 246 | ||
| Prevent Contracture and Joint Stiffness | 246 | ||
| RECONSTRUCTION: RESTORATION OF FUNCTION | 246 | ||
| ILLUSTRATIVE CASE EXAMPLES | 247 | ||
| Case 1: E.D. | 247 | ||
| Case 2: D.B. | 248 | ||
| Case 3: Z.S. | 252 | ||
| SUMMARY | 254 | ||
| SUPPLEMENTARY DATA | 256 | ||
| REFERENCES | 256 | ||
| Cold Injuries | 257 | ||
| Key points | 257 | ||
| INTRODUCTION | 257 | ||
| PATHOPHYSIOLOGY | 258 | ||
| Tissue Freezing | 258 | ||
| Tissue Thawing/Rewarming | 258 | ||
| CLASSIFICATION | 258 | ||
| RISK FACTORS | 259 | ||
| TREATMENT | 259 | ||
| Hypothermia | 259 | ||
| Rewarming | 259 | ||
| HOSPITAL MANAGEMENT | 260 | ||
| Local Wound Care | 260 | ||
| Triple-Phase Bone Scanning | 260 | ||
| Sympathectomy | 262 | ||
| Hyperbaric Oxygen | 262 | ||
| Thrombolytics | 262 | ||
| SURGICAL TREATMENT | 263 | ||
| Acute Surgery | 263 | ||
| Subacute Surgery (First Week) | 264 | ||
| Delayed Surgery | 264 | ||
| PROGNOSIS AND SEQUELAE | 265 | ||
| SUMMARY | 265 | ||
| REFERENCES | 265 | ||
| The Use of Dermal Skin Substitutes for the Treatment of the Burned Hand | 269 | ||
| Key points | 269 | ||
| INTRODUCTION | 269 | ||
| SKIN SUBSTITUTES FOR SUPERFICIAL BURN INJURIES | 270 | ||
| Acellular Products | 270 | ||
| Synthetic Products | 270 | ||
| ACELLULAR DERMAL SUBSTITUTES FOR DEEP INJURIES | 271 | ||
| COST | 273 | ||
| SUMMARY | 273 | ||
| REFERENCES | 273 | ||
| Biological Principles of Scar and Contracture | 277 | ||
| Key points | 277 | ||
| INTRODUCTION | 277 | ||
| CRITICAL INJURIES PRODUCE SCARS AND CONTRACTURES | 277 | ||
| EXTRACELLULAR MATRIX PROPERTIES INFLUENCE PHYSICAL SCAR AND CELLULAR BEHAVIOR | 278 | ||
| Cytokines and Signaling Molecules | 279 | ||
| Profibrotic Cytokines and Molecules | 279 | ||
| Transforming Growth Factor-β | 279 | ||
| Connective tissue growth factor/CCN2 | 280 | ||
| Platelet-derived growth factor | 280 | ||
| Insulinlike growth factor 1 | 280 | ||
| Antifibrotic Cytokines and Molecules | 281 | ||
| Interferon | 281 | ||
| Tumor necrosis factor | 281 | ||
| Decorin | 281 | ||
| MicroRNA | 281 | ||
| CELLS INVOLVED IN WOUND HEALING | 281 | ||
| Local Cells | 281 | ||
| Keratinocytes | 281 | ||
| Dermal fibroblasts | 281 | ||
| Hypertrophic scar fibroblasts | 282 | ||
| Myofibroblasts | 283 | ||
| Systemic Cells | 283 | ||
| Macrophages, neutrophils, and mast cells | 283 | ||
| Fibrocytes | 283 | ||
| T-helper cells | 283 | ||
| WOUND CONTRACTION, SCAR CONTRACTURES, AND FORCES CAUSING SCARRING | 284 | ||
| PATHOPHYSIOLOGY OF CURRENT TREATMENTS | 285 | ||
| Mechanical Treatments | 285 | ||
| Pressure garments | 285 | ||
| Silicone gel sheets | 285 | ||
| Massage | 285 | ||
| Splinting | 285 | ||
| Dressings | 285 | ||
| Immunologic and Biomolecular Treatments | 285 | ||
| Corticosteroids | 285 | ||
| 5-Fluorouracil | 286 | ||
| Interferon | 286 | ||
| Transforming growth factor-β modulators | 286 | ||
| Surgical Treatments | 286 | ||
| Laser | 286 | ||
| Cryosurgery | 286 | ||
| Surgical prevention | 286 | ||
| Scar revision | 287 | ||
| SUMMARY | 287 | ||
| REFERENCES | 287 | ||
| Postburn Upper Extremity Occupational Therapy | 293 | ||
| Key points | 293 | ||
| INTRODUCTION | 293 | ||
| INITIAL ASSESSMENT | 293 | ||
| TREATMENT | 293 | ||
| Edema Management | 293 | ||
| Pediatric applications | 295 | ||
| Patient and caregiver education | 295 | ||
| ANTIDEFORMITY SPLINTING | 295 | ||
| Boutonniere Deformity | 295 | ||
| Mallet Finger Deformity | 295 | ||
| First Web Space Contractures | 295 | ||
| Claw Hand Deformity | 296 | ||
| Palmar Arch Contractures | 296 | ||
| Elbow Complications | 296 | ||
| Axillary Complications | 296 | ||
| Advanced Stage Digit Complications | 297 | ||
| Splint Schedules | 298 | ||
| Pediatric Applications | 298 | ||
| Patient and Caregiver Education | 299 | ||
| RANGE OF MOTION AND STRENGTHENING | 300 | ||
| Pediatric Applications | 300 | ||
| Patient and Caregiver Education | 301 | ||
| SCAR MANAGEMENT | 301 | ||
| Pediatric Applications | 302 | ||
| Patient and Caregiver Education | 303 | ||
| ACTIVITIES OF DAILY LIVING | 303 | ||
| Pediatric Applications | 303 | ||
| Patient and Caregiver Education | 304 | ||
| Summary | 304 | ||
| REFERENCES | 304 | ||
| Scar Management of the Burned Hand | 305 | ||
| Key points | 305 | ||
| INTRODUCTION | 305 | ||
| DEVELOPMENT OF HYPERTROPHIC SCARRING IN THE BURN WOUND | 306 | ||
| HYPERTROPHIC SCARRING IN THE HAND | 307 | ||
| TREATMENT OF HYPERTROPHIC SCARS | 308 | ||
| Early Scar Management | 308 | ||
| Injectables | 308 | ||
| Fat Grafting | 309 | ||
| Laser Therapy | 309 | ||
| Pulse Dye Laser | 309 | ||
| Fractional Carbon Dioxide Laser | 310 | ||
| Alexandrite Laser | 311 | ||
| Operative Management | 311 | ||
| SUMMARY | 314 | ||
| ACKNOWLEDGMENTS | 314 | ||
| REFERENCES | 314 | ||
| Postburn Contractures of the Hand | 317 | ||
| Key points | 317 | ||
| INTRODUCTION | 317 | ||
| CONDITIONS AND PRESENTATION OF BURN CONTRACTURES IN THE HAND | 318 | ||
| PREVENTION OF CONTRACTURE | 319 | ||
| PREOPERATIVE EVALUATION, TIMING, AND PRINCIPLES | 319 | ||
| FLEXION CONTRACTURES | 320 | ||
| THUMB | 323 | ||
| BOUTONNIERE DEFORMITY | 324 | ||
| BURN SYNDACTYLY | 325 | ||
| METACARPOPHALANGEAL JOINT CONTRACTURES | 326 | ||
| WRIST CONTRACTURES | 327 | ||
| BURN CLAW HAND DEFORMITY | 328 | ||
| POSTOPERATIVE CARE | 328 | ||
| OUTCOMES | 329 | ||
| SUMMARY | 330 | ||
| REFERENCES | 330 | ||
| Reconstruction of the Adult and Pediatric Burned Hand | 333 | ||
| Key points | 333 | ||
| INTRODUCTION | 333 | ||
| CONTRACTURE PREVENTION | 334 | ||
| FUNCTIONAL DEFORMITIES AND REQUIREMENTS OF RECONSTRUCTION OF THE BURNED HAND | 334 | ||
| Dorsal Hand Burns | 335 | ||
| Palmar Hand Burns | 336 | ||
| First Web Space Contractures | 336 | ||
| Swan Neck and Boutonniere Deformities | 337 | ||
| Burn Syndactyly | 337 | ||
| Nail bed deformities | 338 | ||
| Digital necrosis | 338 | ||
| DIFFERENCES IN RECONSTRUCTION OF THE PEDIATRIC AND THE ADULT BURNED HAND | 339 | ||
| SPECIFIC TECHNIQUES FOR RECONSTRUCTION | 339 | ||
| Minimally Invasive Techniques | 339 | ||
| Skin Grafting | 339 | ||
| Dermal substitutes | 340 | ||
| Full-thickness autograft versus split-thickness autograft | 340 | ||
| Release and autograft for nail bed deformities | 340 | ||
| Local Flaps | 340 | ||
| Local digital flaps | 340 | ||
| Anatomic local flaps | 340 | ||
| Dorsal metacarpal artery flaps | 340 | ||
| Pollicization | 340 | ||
| Local flaps for treatment of web space contracture/neosyndactyly | 341 | ||
| Regional Flaps | 342 | ||
| Reverse radial forearm flap | 342 | ||
| Posterior interosseous artery fasciocutaneous flap | 342 | ||
| Remote Pedicled Flaps | 342 | ||
| Groin Flap | 342 | ||
| Abdominal Flap | 342 | ||
| Free Tissue Transfer | 343 | ||
| Hand transplantation | 343 | ||
| SUMMARY | 343 | ||
| REFERENCES | 344 | ||
| Microsurgical Reconstruction of the Burned Hand and Upper Extremity | 347 | ||
| Key points | 347 | ||
| INTRODUCTION | 347 | ||
| PREPARING FOR MICROSURGERY | 348 | ||
| OPERATIVE CONSIDERATIONS | 350 | ||
| Reconstructive Options | 354 | ||
| SUMMARY | 360 | ||
| REFERENCES | 360 | ||
| Heterotopic Ossification Following Upper Extremity Injury | 363 | ||
| Key points | 363 | ||
| INTRODUCTION | 363 | ||
| EPIDEMIOLOGY AND RISK FACTORS | 364 | ||
| DIAGNOSIS | 364 | ||
| Examination | 364 | ||
| Current Imaging Techniques | 364 | ||
| Experimental Imaging Techniques | 365 | ||
| PREVENTION | 366 | ||
| SURGICAL MANAGEMENT | 368 | ||
| Indications | 368 | ||
| Approach | 368 | ||
| Operative Techniques | 368 | ||
| Rehabilitation | 368 | ||
| Outcomes | 369 | ||
| BASIC SCIENCE RESEARCH | 369 | ||
| Animal Models | 369 | ||
| Therapeutics Under Laboratory Investigation | 369 | ||
| SUMMARY | 370 | ||
| ACKNOWLEDGMENTS | 371 | ||
| REFERENCES | 371 | ||
| Postburn Contractures of the Elbow and Heterotopic Ossification | 375 | ||
| Key points | 375 | ||
| INTRODUCTION | 375 | ||
| PATHOPHYSIOLOGY OF CONTRACTURE DEVELOPMENT | 376 | ||
| Severity of Soft Tissue Injury | 376 | ||
| Depth of tissue injury | 376 | ||
| EXTENT OF BURN INJURY | 376 | ||
| DURATION OF HEALING AND TIME TO WOUND COVERAGE | 377 | ||
| Depth of Injury | 377 | ||
| Infection | 377 | ||
| Tension | 377 | ||
| Early Wound Coverage | 377 | ||
| PATHOANATOMY OF POSTBURN ELBOW CONTRACTURES | 377 | ||
| PREOPERATIVE EVALUATION | 378 | ||
| History | 378 | ||
| Examination | 378 | ||
| Additional Studies | 378 | ||
| TREATMENT | 379 | ||
| Nonoperative | 379 | ||
| Operative | 379 | ||
| Indications and contraindications | 379 | ||
| Timing of surgical intervention | 380 | ||
| Superficial contractures | 380 | ||
| Deep contractures | 380 | ||
| SURGICAL INTERVENTION | 380 | ||
| Superficial Linear Contractures | 380 | ||
| Superficial Diffuse Contractures | 381 | ||
| Deep Contractures | 382 | ||
| SURGICAL TECHNIQUE OF DEEP CONTRACTURE RELEASE | 382 | ||
| Patient Positioning | 382 | ||
| Incision | 382 | ||
| Posterior Approach | 383 | ||
| Medial Heterotopic Bone Excision | 383 | ||
| Tendon and Muscle Release | 383 | ||
| Lateral Exposure | 384 | ||
| Posterior Exposure | 384 | ||
| Closure | 384 | ||
| POSTOPERATIVE MANAGEMENT | 385 | ||
| OUTCOMES AND COMPLICATIONS | 385 | ||
| Complications | 386 | ||
| SUMMARY | 387 | ||
| REFERENCES | 387 | ||
| Outcomes Assessment After Hand Burns | 389 | ||
| Key points | 389 | ||
| INTRODUCTION | 389 | ||
| INTERNATIONAL CLASSIFICATION OF FUNCTIONING DISABILITY AND HEALTH | 390 | ||
| PATIENT-REPORTED OUTCOMES | 390 | ||
| CLINOMETRIC PROPERTIES | 391 | ||
| ASSESSING OUTCOMES | 392 | ||
| HAND BURN OUTCOMES | 392 | ||
| Global Outcomes Measures | 392 | ||
| Hand-Specific Outcomes Measures | 393 | ||
| Descriptive outcomes measures | 394 | ||
| Component outcomes measures | 394 | ||
| Performance outcomes measures | 394 | ||
| Patient-reported outcomes measures | 394 | ||
| OUTCOMES DATABASES | 395 | ||
| SUMMARY | 395 | ||
| REFERENCES | 395 | ||
| International Disease Burden of Hand Burns | 399 | ||
| Key points | 399 | ||
| INTRODUCTION | 399 | ||
| BURNS OF THE HAND AND MEASURING THE BURDEN OF DISEASE | 400 | ||
| WHAT CAN BE SAID ABOUT THE BURDEN OF DISEASE DUE TO HAND BURNS IN LOW- AND MIDDLE-INCOME COUNTRIES IN 2017? | 401 | ||
| ADDRESSING THE BURDEN OF DISEASE DUE TO HAND BURNS | 403 | ||
| WHAT IS KNOWN ABOUT POSTBURN RECONSTRUCTION IN LOW- AND MIDDLE-INCOME COUNTRIES? | 404 | ||
| SUMMARY | 405 | ||
| REFERENCES | 405 | ||
| Index | 409 |