Hand Burns

  • Clifford C. Sheckter
  • Matthew B. Klein


Loss of hand function is the leading cause of impairment following burn injury. With majority of severe burns routinely survivable today, understanding the unique features of hand burn treatment is crucial for all burn surgeons. After trauma survey and resuscitation, evaluation for distal hand perfusion and appropriate upper extremity escharotomy ± fasciotomy are the first steps in managing hand burns. As with all burns, the principle of early excision and grafting yields the best results in limiting scarring and contracture. Splinting and aggressive therapy are paramount in maintaining hand function. For inevitable contractures, tailored techniques with local and regional flaps can restore hand function.


Hand burns Extremity burns Acute care 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Clifford C. Sheckter
    • 1
  • Matthew B. Klein
    • 2
  1. 1.Division of Plastic and Reconstructive SurgeryStanford School of MedicineStanfordUSA
  2. 2.Burn Center and Division of Plastic SurgerySanta Clara Valley Medical CenterSan JoseUSA

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