Highlights
- •Pediatric upper extremity burns are a common occurrence.
- •Although both surgical and nonsurgical options are available, there is significant literature on the surgical management of these burns but less on nonsurgical management.
- •Our center manages nonoperative pediatric upper extremity burns using a multidisciplinary approach.
- •This topical outline reviews the management of pediatric upper extremity burns including appropriate staging, dressing management, surgical treatment, and therapy/orthosis considerations.
- •Additional information is provided outlining indications and techniques for operative management for severe burns and their sequelae.
Abstract
Pediatric upper extremity burns are common. There is significant literature outlining
the treatment of surgical hand burns; however, the appropriate treatment of nonoperative
burns is less well described. Options for treatment are plentiful, and choosing an
ideal strategy requires consideration of numerous factors. At our center, pediatric
upper extremity burns are managed using a multidisciplinary approach. This topical
review outlines the management of pediatric upper extremity burns. We focus on the
management of nonoperative burns, but additional information is provided outlining
the indications for and techniques of operative management for more severe burns.
Keywords
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References
- Children with burn injuries—assessment of trauma, neglect, violence and abuse.J Inj Violence Res. 2011; 3: 98-110
- Pediatric burn injuries.Int J Crit Illness Inj Sci. 2012; 2: 128-134
- Pain response and pain control in burn patients.Ann Burns Fire Disasters. 2009; 22: 88-89
- Burn care for children.Pediatr Rev. 2018; 39: 273-286
- Initial management of a major burn: II—assessment and resuscitation.BMJ. 2004; 329: 101-103
- Lund and Browder chart—modified versus original: a comparative study.Acute Crit Care. 2019; 34: 276-281
- Debridement techniques in pediatric trauma and burn-related wounds.Adv Wound Care (New Rochelle). 2015; 4: 596-606
- Using the hand to estimate the surface area of a burn in children.Pediatr Emerg Care. 1997; 13: 254-255
- Prevention of infections associated with combat-related extremity injuries.J Trauma. 2011; 71: S235-S257
- New techniques for wound debridement.Int Wound J. 2013; 10: 247-251
- Silvadene. Package insert. Pfizer Inc,
2020https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=c437213a-1cd4-445e-a39f-bbcacb9f746fDate accessed: September 20, 2022
- Silver sulfadiazine for the treatment of partial-thickness burns and venous stasis ulcers.J Am Acad Dermatol. 2012; 66: e159-e165
- Mepilex® Ag in the management of partial-thickness burns: a review of the clinical evidence.Wounds International, London, UK2022https://www.woundsinternational.com/resources/details/mepilex-ag-management-partial-thickness-burns-review-clinical-evidenceDate accessed: September 20, 2022
- Mölnlycke Mepilex Ag product data sheet (Report PD-358735-10).https://www.molnlycke.us/products-solutions/mepilex-transfer-ag/Date accessed: September 20, 2022
- Adv Wound Care (New Rochelle). 2012 Apr; 1: 104-107https://doi.org/10.1089/wound.2011.0286
- Epiburn. LifeHealthCare.https://www.lifehealthcare.com.au/products/epiburn/Date accessed: September 20, 2022
- Special considerations in the management of pediatric upper extremity and hand burns.J Craniofac Surg. 2008; 19: 933-941
- Compartment syndrome in the pediatric patient.Pediatr Rev. 2017; 38: 560-565
- Five essential principles for first web space reconstruction in the burned hand.Plast Reconstruct Surg. 2020; 146: 578e-587e
- The effects of conservative treatments on burn scars: a systematic review.Burns. 2016; 42: 508-518
- Effects of silicone gel on burn scars.Burns. 2009; 35: 70-74
- The effect of burn rehabilitation massage therapy on hypertrophic scar after burn: a randomized controlled trial.Burns. 2014; 40: 1513-1520
Biography
Carrie L. Roth Bettlach, MSN, FNP-C, is a nurse practitioner with the Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, Saint Louis, MO, and can be contacted at [email protected]
Biography
Courtney Bergheger, OTR/L, is an occupational therapist at St. Louis Children’s Hospital, Department of Occupational Therapy, Saint Louis, MO.
Biography
Lauren Jacobson, MD, is a physician with the Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, Saint Louis, MO.
Biography
Mitchell A. Pet, MD, is a physician with the Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, Saint Louis, MO.
Article info
Publication history
Published online: February 08, 2023
Footnotes
In compliance with standard ethical guidelines, the authors report no relationships with business or industry that would pose a conflict of interest.
Identification
Copyright
© 2023 Elsevier Inc. All rights reserved.
