Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Proximal interphalangeal joint autofusions after extensive burns

M Hoffer1, J Lankenau, T Wellisz

  • 1Department of Surgery, Rancho Los Amigos Medical Center, Downey, California.

Journal of Orthopaedic Trauma
|January 1, 1994
PubMed
Summary

Severe burns (>70% body) in seven patients led to joint autofusions and deformities, significantly impacting hand function and daily living. Early joint fixation could potentially prevent such severe outcomes.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Tricuspid annular plane systolic excursion (TAPSE) in chronic obstructive pulmonary disease patients: a systematic review and meta-analysis.

Clinical and experimental emergency medicine·2024
Same author

NeuroBox: Computational Mathematics in Multiscale Neuroscience.

Computing And Visualization In Science·2020
Same author

Development of a New Bead Movement-Based Computational Framework Shows that Bacterial Amyloid Curli Reduces Bead Mobility in Biofilms.

Journal of bacteriology·2020
Same author

Tinnitus in an active duty navy diver: A review of inner ear barotrauma, tinnitus, and its treatment.

Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc·2006
Same author

Reversal of diminished inhibitory sensory gating in cocaine addicts by a nicotinic cholinergic mechanism.

Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology·2001
Same author

A radical demise. Toxins and trauma share common pathways in hair cell death.

Annals of the New York Academy of Sciences·2000

Area of Science:

  • Orthopedic Surgery
  • Burn Management
  • Reconstructive Surgery

Background:

  • Third-degree burns exceeding 70% of total body surface area present significant challenges.
  • Severe burn injuries frequently result in joint deformities, particularly in the hands.
  • Proximal interphalangeal (PIP) joint autofusions and fixed deformities are debilitating complications.

Purpose of the Study:

  • To investigate the incidence and severity of proximal interphalangeal joint deformities in patients with extensive third-degree burns.
  • To assess the functional impact of these deformities on hand use and activities of daily living.
  • To explore potential preventative measures for burn-related joint contractures.

Main Methods:

  • Retrospective case series analysis of seven patients with extensive third-degree burns (>70% TBSA).

Related Experiment Videos

  • Evaluation of proximal interphalangeal (PIP) joint autofusions and fixed deformities.
  • Assessment of axillary and elbow deformities and overall hand functional status.

    • Main Results:

    • Nineteen proximal interphalangeal (PIP) joints exhibited autofusions, with 13 showing fixed deformities exceeding 60 degrees.
    • Patients also presented with bilateral axillary and elbow deformities.
    • Only one hand per patient was independently functional, with PIP joint deformities less than 40 degrees.
    • Two patients experienced total dependence due to burn severity or complications.
    • Four patients utilized a less affected hand as a helping hand, achieving satisfactory daily living skills.

    Conclusions:

    • Extensive third-degree burns frequently lead to severe proximal interphalangeal (PIP) joint autofusions and deformities.
    • These deformities significantly impair hand function and patient independence.
    • Early intervention with splinting or skeletal fixation of burned joints in flexion may prevent poor-position autofusions.