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Upper Extremity Friction Burns in the Pediatric Patient: A 10-year Review
Rachel Marchalik1, Erin M Rada1, Frank P Albino1
1Division of Plastic Surgery, Children's National Medical Center, Washington, D.C.
Plastic and Reconstructive Surgery. Global Open
|January 19, 2019
Summary
Pediatric friction burns from treadmills often require surgery, while vacuum cleaner burns heal well with conservative care. This highlights differing injury patterns and treatment needs for common household equipment accidents in children.
Area of Science:
- Pediatric medicine
- Burn injuries
- Trauma surgery
Background:
- Upper extremity friction burns in children are an increasing concern.
- Powered home equipment is a common cause of these injuries.
- Understanding the specific mechanisms and outcomes is crucial for pediatric care.
Purpose of the Study:
- To review the causes, presentation, characteristics, and treatment of pediatric upper extremity friction burns.
- To differentiate between injuries caused by treadmills and vacuum cleaners.
- To analyze the need for surgical intervention and functional recovery based on the injury source.
Main Methods:
- Retrospective chart review of pediatric patients treated between 2003 and 2012.
- Identification of patients using International Classification of Diseases, version 9 (ICD-9) codes.
- Analysis of injury mechanisms, treatment, and patient outcomes.
Main Results:
- Sixty-nine pediatric patients with upper extremity friction burns were identified.
- Treadmills caused 63 injuries, while vacuum cleaners caused 6.
- Treadmill burns more frequently required surgery (30% of patients) and resulted in poorer functional recovery compared to vacuum cleaner burns, which were treated conservatively with excellent outcomes.
Conclusions:
- Friction burns from vacuum cleaners in children are less common, present differently, and are effectively managed with conservative treatment.
- Treadmill-induced friction burns lead to more severe injuries, often necessitating surgical intervention and carrying a higher risk of long-term functional impairment.
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