High-voltage electrical burn injuries: Functional upper extremity assessment

Mazzetto-Betti, Kelley C.; Amâncio, A.C.G.; Farina, Jayme Adriano; Barros, Mário Eduardo Pereira Monteiro de; Fonseca, Marisa de Cássia Registro

doi:10.1016/j.burns.2008.10.002

Cited by 21 publications

(15 citation statements)

References 19 publications

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“…The age group involved in various studies ranged from 10-50 years[5-7]. In our study, we observed 81.25% of the injuries to occur during work.…”

Section: Discussionmentioning

confidence: 48%

“…The permanent peripheral neurological injury was located at the point of entry of the current in 88% of the cases and there was no recovery of sensations or movement during a period of six months after the trauma. Mazzetto-Betti et al[7] had ulnar clawing in 22% and median claw in 5% of cases. Analyzing hand sensation in their study, the radial nerve was the least affected among the patients.…”

Section: Discussionmentioning

confidence: 99%

“…A retrospective review by Mazzetto-Betti et al[7] reports that 72% patients retired or changed their job. Kidd et al[6] however reported that average time to return to work was 101 d post injury.…”

Section: Discussionmentioning

confidence: 99%

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Early debridement and delayed primary vascularized cover in forearm electrical burns: A prospective study

Menè

Biswas

Parashar

et al. 2016

WJCCM

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AIMTo look into the management options of early debridement of the wound, followed by vascularized cover to bring in fresh blood supply to remaining tissue in electrical burns.METHODSA total of 16 consecutive patients sustaining full thickness forearm burns over a period of one year were included in the study group. Debridement was undertaken within 48 h in 13 patients. Three patients were taken for debridement after 48 h. Debridement was repeated within 2-4 d after daily wound assessment and need for further debridement.RESULTSOn an average two debridements (range 1-4) was required in our patients for the wound to be ready for definitive cover. Interval between each debridement ranged from 2-18 d. Fourteen patients were provided vascularized cover after final debridement (6 free flaps, 8 pedicled flaps). Functional assessment of gross hand function done at 6 wk, 2 mo, 3 mo and 6 mo follow-up.CONCLUSIONHigh-tension electrical burns lead to significant morbidity. These injuries are best managed by early decompression followed by multiple serial debridements. The ideal timing of free flap coverage needs further investigation.

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“…The age group involved in various studies ranged from 10-50 years[5-7]. In our study, we observed 81.25% of the injuries to occur during work.…”

Section: Discussionmentioning

confidence: 48%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Early debridement and delayed primary vascularized cover in forearm electrical burns: A prospective study

Menè

Biswas

Parashar

et al. 2016

WJCCM

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“…As the current flows through the body, further skeletal muscle damage occurs due to electroporation, which disrupts cell membranes, and thermal exposure by Joule heating, causing rapid coagulative necrosis (29,31). The formation of peripheral neurological lesions as a result of electrical burn may also contribute to decreased muscular strength (32). Foncerrada and colleagues (33) demonstrated that in a pediatric population, electrical burns significantly decreased maximal oxygen consumption and increased serum myoglobin despite no changes in lean body mass compared with those with flame burns at discharge (3-4 wk postburn).…”

Section: Electrical Burnsmentioning

confidence: 99%

Burn-induced hypermetabolism and skeletal muscle dysfunction

Knuth

Auger

Jeschke

2021

American Journal of Physiology-Cell Physiology

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Critical illnesses, including sepsis, cancer cachexia and burn injury, invoke a milieu of systemic metabolic and inflammatory derangements that ultimately results in increased energy expenditure leading to fat and lean mass catabolism. Burn injuries present a unique clinical challenge given the magnitude and duration of the hypermetabolic response in comparison to other forms of critical illness, which drastically increase the risk of morbidity and mortality. Skeletal muscle metabolism is particularly altered as a consequence of burn-induced hypermetabolism as it primarily provides a main source of fuel in support of wound healing. Interestingly, muscle catabolism is sustained long after the wound has healed, indicating that additional mechanisms beyond wound healing are involved. In this review, we discuss the distinctive pathophysiological response to burn injury with a focus on skeletal muscle function and metabolism. We first examine the diverse consequences on skeletal muscle dysfunction between thermal, electrical and chemical burns. We then provide a comprehensive overview of the known mechanisms underlying skeletal muscle dysfunction that may be attributed to hypermetabolism. Lastly, we review the most promising current treatment options to mitigate muscle catabolism, and by extension improve morbidity and mortality, and end with future directions which have the potential to significantly improve patient care.

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“…Yanık yaralanması olan bireylerin uzun süreli takibinin yapıldığı bir çalışmada (Jarrett, 2008) üst ekstremite ile ilişkili özür düzeyini hızlı kol-omuz-el sorunları anketi (Q-DASH) ile değerlendirilmiş ve Q-DASH anketi puanının TYYA ile ilişkili olduğu belirtilirken, yanık yüzey alanının etkisi gözetilmeksizin tüm bireylerin fonksiyonlarının taburculukta başlangıca göre daha kötü olduğu ancak 6 ay içerisinde fonksiyonların norm değerlere yaklaştığı bildirilmiştir. Mazzetto-Betti ve arkadaşlarının (Mazzetto-Betti, 2009) yüksek voltaj elektrik yanıklarında yaralanmayı takiben bir yıl içerisinde bireylerin üst ekstremite fonksiyonel durumlarını kol-omuz-el sorunları anketi ile değerlendirmişler ve bireylerin kavrama kuvveti ile üst ekstremite fonksiyonlarında azalma olduğunu göstermişlerdir.…”

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Investigation of Factors Affecting the Function at Early Period in Upper Extremity Burns

Özkal

Topuz

2021

Ergoterapi Ve Rehabilitasyon Dergisi

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Üst ekstremite yanık yaralanması olan bireylerde erken dönemde üst ekstremite ile ilişkili özür etkileyen parametreleri araştırmaktı. Gereç ve Yöntem: Çalışmaya unilateral ve bilateral üst ekstremite yanık yaralanması olan 34 (26 K; 8 E) birey dahil edildi. Bireylerin üst ekstremite ile ilişkili özür düzeyi için hızlı-kol-omuz-el sorunları anketi (Q-DASH), kavrama kuvveti için Jamar el dinamometresi , kinezyofobi düzeyi için Tampa Kinezyofobi Ölçeği ve ağrı düzeyi için Görsel Analog Skalası kullanıldı. Sonuçlar: Çoklu doğrusal regresyon analiz sonuçlarına göre, eklemde yanık varlığı ve ağrı düzeyinin, üst ekstremite fonksiyonunun anlamlı belirleyicileri olduğu saptandı (p˂0,05). Ayrıca, eklemi içeren yanık yaralanması olan bireylerde Q-DASH skoru, kinezyofobi ve ağrı düzeyi daha yüksek bulunurken, kavrama kuvvetinin daha düşük olduğu bulundu (p˂0,05). Üst ekstremite ile ilişkili özür düzeyi, kinezyofobi, kavrama kuvveti ve ağrı parametreleri açısından bilateral ve unilateral yanık yaralanması olan bireyler arasında fark bulunmadı (p˃0,05). Tartışma: Yanık yaralanmasının özellikle eldeki bir eklemde bulunması ve artmış ağrı düzeyinin erken dönemde özür düzeyini olumsuz etkilediği gösterildi. Eklemde yanık yaralanması olan bireylerin üst ekstremite ile ilişkili özür düzeyine ek olarak, ağrı şiddetinin, kinezyofobi düzeyinin ve kavrama kuvvetinin de negatif etkilendiği belirlendi.

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High-voltage electrical burn injuries: Functional upper extremity assessment

Cited by 21 publications

References 19 publications

Early debridement and delayed primary vascularized cover in forearm electrical burns: A prospective study

Early debridement and delayed primary vascularized cover in forearm electrical burns: A prospective study

Burn-induced hypermetabolism and skeletal muscle dysfunction

Investigation of Factors Affecting the Function at Early Period in Upper Extremity Burns

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