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Related Experiment Videos

The burned small finger.

R L Simpson1, M E Flaherty

  • 1State University of New York, Stony Brook.

Clinics in Plastic Surgery
|July 1, 1992
PubMed
Summary
This summary is machine-generated.

Preventing boutonniere-like deformities in small fingers after burns involves understanding fifth digit anatomy and graft contraction. Composite tissue expansion offers an alternative for recurrent hyperextension deformities.

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Area of Science:

  • Plastic surgery
  • Hand surgery
  • Burn reconstruction

Background:

  • Postburn deformities of the small finger are common.
  • Boutonniere-like deformities can occur without direct central slip extensor tendon injury.
  • Long-standing deformities may recur after surgical reconstruction.

Purpose of the Study:

  • To highlight preventable causes of postburn small finger deformities.
  • To discuss the evaluation of extrinsic extensor tightness in recurrent deformities.
  • To present composite tissue expansion as a reconstructive option.

Main Methods:

  • Review of anatomical differences in the fifth digit.
  • Principles of graft contraction in burn scar management.
  • Evaluation of soft tissue-to-skeleton relationship.

Related Experiment Videos

  • Application of composite tissue expansion for tendon and skin grafting.

    • Main Results:

    • Anatomical considerations and graft contraction principles can prevent certain deformities.
    • Extrinsic extensor tightness may signal altered soft tissue-to-skeleton relationships.
    • Composite tissue expansion is a viable alternative for reconstruction.

    Conclusions:

    • Preventable postburn deformities of the small finger require attention to specific anatomical features.
    • Recurrent hyperextension deformities necessitate evaluation of extensor mechanism tightness.
    • Composite tissue expansion provides a novel approach for complex reconstructions.