Friction Burns in Children

Menon, Seema; Harvey, John G.; Hei, Erik La; Holland, A.J.A.

doi:10.1097/bcr.0b013e3182504469

Cited by 9 publications

(4 citation statements)

References 19 publications

(18 reference statements)

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“…If left untreated, these injuries can lead to infection and scar contracture, resulting in further morbidity and potential need for surgical intervention. 2–4…”

Section: Introductionmentioning

confidence: 99%

Upper Extremity Friction Burns in the Pediatric Patient: A 10-year Review

Marchalik

Rada

Albino

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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Background:Upper extremity friction burn due to powered home equipment is a growing problem in the pediatric population. The purpose of this study was to review the etiology, presentation, characteristics, and treatment of this particular type of pediatric mechanism of injury.Methods:A retrospective chart review using International Classification of Diseases, version 9, codes for patients treated at a large tertiary care, free-standing children’s hospital was performed to identify all patients presenting with an upper extremity friction burn from 2003 to 2012.Results:Sixty-nine patients sustained upper extremity friction burns. The average age at the time of injury was 3.3 years (range, 0.7–10.6) with presentation to our center occurring 16.6 days (range, 0–365 days) following injury. Mean follow-up was 23.3 months (range, 2–104). Mechanism of injury included treadmills (n = 63) and vacuum cleaners (n = 6). Twenty-eight operations were performed on 21 patients (30%). All patients requiring a surgical intervention sustained injury via treadmill mechanism (P = 0.0001). Unlike treadmill burns, vacuum cleaner injuries affected the dorsal hand or a single digit (P = 0.00004). Scar hyperpigmentation was more prevalent in these patients compared with the treadmill group (P = 0.003). All vacuum-induced burn patients had full range of motion and function with conservative treatment alone, whereas only 55.6% of treadmill burn patients had full recovery of range of motion and 50.8% recovery of full hand function.Conclusions:Friction burns from vacuum cleaners are less prevalent, have different injury patterns, and can be treated conservatively with excellent functional outcomes. Treadmill friction burns result in more significant injury and risk for dysfunction, requiring surgical intervention.

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“…If left untreated, these injuries can lead to infection and scar contracture, resulting in further morbidity and potential need for surgical intervention. 2–4…”

Section: Introductionmentioning

confidence: 99%

Upper Extremity Friction Burns in the Pediatric Patient: A 10-year Review

Marchalik

Rada

Albino

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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“…In an interesting study by Menon et al, they investigated if the success of LD assessment in prediction of scald-burn healing potential is reproducible in friction burns [27]. A retrospective review was carried out on 36 friction burns.…”

Section: Discussionmentioning

confidence: 99%

“…LD assessment accurately predicted wound healing in 64% of cases. The differences in the mechanism of burn were attributed to the lower accuracy compared to the literature [27]. …”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of the Evolution of Laser Doppler Techniques in Burn Depth Assessment

Khatib

Jabir

O’Connor

et al. 2014

Plastic Surgery International

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Aims. The introduction of laser Doppler (LD) techniques to assess burn depth has revolutionized the treatment of burns of indeterminate depth. This paper will systematically review studies related to these two techniques and trace their evolution. At the same time we hope to highlight current controversies and areas where further research is necessary with regard to LD imaging (LDI) techniques. Methods. A systematic search for relevant literature was carried out on PubMed, Medline, EMBASE, and Google Scholar. Key search terms included the following: “Laser Doppler imaging,” “laser Doppler flow,” and “burn depth.” Results. A total of 53 studies were identified. Twenty-six studies which met the inclusion/exclusion criteria were included in the review. Conclusions. The numerous advantages of LDI over those of LD flowmetry have resulted in the former technique superseding the latter one. Despite the presence of alternative burn depth assessment techniques, LDI remains the most favoured. Various newer LDI machines with increasingly sophisticated methods of assessing burn depth have been introduced throughout the years. However, factors such as cost effectiveness, scanning of topographically inconsistent areas of the body, and skewing of results due to tattoos, peripheral vascular disease, and anaemia continue to be sighted as obstacles to LDI which require further research.

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“…Laser Doppler imaging provides the assessment of a much larger area of tissue compared to laser Doppler flowmetry (which uses a contact probe) and provides the measurements in real time (29). Microvascular blood flow analysis has been utilised in the assessment of burn wounds (30)(31)(32)(33), scars (34,35), pressure ulcers (36)(37)(38), diabetic foot ulcers and venous leg ulcers (39,40).…”

Section: Angiogenesismentioning

confidence: 99%

Non‐invasive objective devices for monitoring the inflammatory, proliferative and remodelling phases of cutaneous wound healing and skin scarring

Uddin

Bayat

2016

Experimental Dermatology

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Objective evaluation of cutaneous wounds through the use of non-invasive devices is important for diagnosis, monitoring treatment response and can lead to the development of improved theranostic strategies. The need for objective monitoring of wound healing and scar formation is evident as this enables accurate diagnosis, evaluation and prognosis for clinicians and allows for the standardisation and validation of methodology for researchers. Therefore, this review provides an overview of the current application of non-invasive objective technologies for the assessment of wound healing through the different phases of repair. We propose that cutaneous healing parameters can be split into three core domains: anatomical, mechanical and physiological. These categories can be further subdivided with respect to specific phases of healing. There is no single instrument, which can measure all the parameters of healing simultaneously; thus, it is important to choose the correct device for the particular healing characteristics being monitored. However, multiprobe systems, which include a number of devices connected to one main unit, are useful as they enable multiple measurements of different parameters. Many of the devices have not been validated against histological examination. Additionally, some of the instruments have not been evaluated in all wound or scar types and may not be useful throughout all phases of cutaneous wound healing. In conclusion, non-invasive objective devices are useful in the assessment of cutaneous wound healing, as these tools can link the treatment and diagnosis by evaluating response to treatment and thus could aid as a marker for healing and scar maturation.

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Friction Burns in Children

Cited by 9 publications

References 19 publications

Upper Extremity Friction Burns in the Pediatric Patient: A 10-year Review

Upper Extremity Friction Burns in the Pediatric Patient: A 10-year Review

A Systematic Review of the Evolution of Laser Doppler Techniques in Burn Depth Assessment

Non‐invasive objective devices for monitoring the inflammatory, proliferative and remodelling phases of cutaneous wound healing and skin scarring

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