
Burn victims can experience fingernail deformities after thermal injury. These deformities can be disfiguring and troublesome, with the fingernails being discoloured, cleft or vertically deviated. Nailfold reconstruction can be used to correct these deformities.
Characteristics | Values |
---|---|
Fingernail deformities | Disfiguring, troublesome, discoloured, cleft, vertically deviated |
Treatment | Surgery |
Rehabilitation | Maintain mobility, prevent contracture, promote functionality |
What You'll Learn
Fingernail deformities
Hand burn injuries often result in limited hand function, especially flexion/extension of fingers, and present a major hindrance in rehabilitation. These injuries also decline the quality of life, especially when included in larger burns. The aim of physical therapy and splinting after hand burn injury is to maintain mobility, prevent the development of the contracture and to promote the functionality of hand and good cosmetic results. A comprehensive understanding of the effect of hand thermal injury can improve rehabilitation outcomes and prevent burn-related issues.
Nailfold reconstruction for the correction of burn fingernail deformity is a procedure that can be used to treat nail deformities. The Oxford Finger Nail Appearance Score is a new scoring system for fingernail deformity following paediatric finger tip trauma.
Minor burns require immediate action but often don’t require a trip to the emergency room. You should: Run cool water over your finger or hand for 10 to 15 minutes. After flushing the burn, cover it with a dry, sterile bandage. If necessary, take over-the-counter (OTC) pain medication such as ibuprofen (Advil, Motrin), naproxen (Aleve), or acetaminophen (Tylenol). Once it’s cooled, put on a thin layer of a moisturizing lotion or gel such as aloe vera. Minor burns will usually heal without additional treatment, but if your pain level doesn’t change after 48 hours or if red streaks start spreading from your burn, call your doctor.
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Joint deformities
Burn injuries to the hands can result in limited hand function and joint deformities. Physical therapy and splinting are used to maintain mobility, prevent contractures, and promote hand functionality.
Fingernail deformities after thermal injury can be very disfiguring and troublesome. The fingernails may be discoloured, cleft, or vertically deviated. Nailfold reconstruction can be used to correct burn fingernail deformities.
Over a two-year period, 153 patients with burned hands were treated in the Groningen Burn Centre. Seven of these patients developed abnormal quality and growth patterns of the fingernails. In two patients, an effort was made to correct the deformity by incising the dorsal skin at the base of the nail fold, reflecting the nail fold, and covering the acquired defect with a full-thickness skin graft.
Hand burn injuries often result in limited hand function, especially flexion/extension of fingers, and present a major hindrance in rehabilitation. These injuries also decline the quality of life, especially when included in larger burns. The aim of physical therapy and splinting after hand burn injury is to maintain mobility, prevent the development of contractures, and to promote the functionality of the hand and good cosmetic results.
A comprehensive understanding of the effect of hand thermal injury can improve rehabilitation outcomes and prevent burn-related issues. There are some common complications following a thermal injury to the hands, including joint deformities.
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Nail growth
Fingernail deformities after thermal injury can be very disfiguring and troublesome. The fingernails may be discoloured, cleft or vertically deviated. Over a two-year period, 153 patients with burned hands were treated in the Groningen Burn Centre. Seven of these patients developed abnormal quality and growth pattern of the fingernails. In two patients, an effort was made to correct the deformity by incising the dorsal skin at the base of the nail fold, reflecting the nail fold and covering the acquired defect with a full thickness skin graft.
The nailfold reconstruction for correction of burn fingernail deformity is a new scoring system for fingernail deformity following paediatric finger tip trauma. Jain A, Stokes J, Gardiner MD, Cook JA, Jones A, Cooper C, Shirkey B, Sierakowski A, Beard D, Greig AVH, Dupré S, Adami RZ, Baker B, Fleet M, Miles D, Nicholas R, Nicola A, Plonczak A, Sleiwah A, Williams G are the authors of this system.
Hand burn injuries often result in limited hand function especially flexion/extension of fingers and present a major hindrance in rehabilitation. These injuries also decline the quality of life, especially when included in larger burns. The aim of physical therapy and splinting after hand burn injury is to maintain mobility, prevent the development of the contracture and to promote the functionality of hand and good cosmetic results.
A comprehensive understanding of the effect of hand thermal injury can improve rehabilitation outcomes and prevent burn-related issues. There are some common complications following a thermal injury to the hands, including:
Joint deformities.
Minor burns require immediate action but often don’t require a trip to the emergency room. You should:
- Run cool water over your finger or hand for 10 to 15 minutes.
- After flushing the burn, cover it with a dry, sterile bandage.
- If necessary, take over-the-counter (OTC) pain medication such as ibuprofen (Advil, Motrin), naproxen (Aleve), or acetaminophen (Tylenol).
- Once it’s cooled, put on a thin layer of a moisturizing lotion or gel such as aloe vera.
- Minor burns will usually heal without additional treatment, but if your pain level doesn’t change after 48 hours or if red streaks start spreading from your burn, call your doctor.
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Scarred eponychium
Fingernail deformities after thermal injury can be very disfiguring and troublesome. The fingernails may be discoloured, cleft or vertically deviated. From the pathophysiology of the nail growth in general, the specific features of the nail deformities after deep burns can be deduced, as can guidelines for the treatment. Over a two-year period, 153 patients with burned hands were treated in the Groningen Burn Centre. Seven of these patients developed abnormal quality and growth pattern of the fingernails. In two patients an effort was made to correct the deformity by incising the dorsal skin at the base of the nail fold, reflecting the nail fold and covering the acquired defect with a full thickness skin graft.
Hand burn injuries often result in limited hand function especially flexion/extension of fingers and present a major hindrance in rehabilitation. These injuries also decline the quality of life, especially when included in larger burns. The aim of physical therapy and splinting after hand burn injury is to maintain mobility, prevent the development of the contracture and to promote the functionality of hand and good cosmetic results. A comprehensive understanding of the effect of hand thermal injury can improve rehabilitation outcomes and prevent burn-related issues. There are some common complications following a thermal injury to the hands, including:
- Joint deformities.
- Nail deformities.
- Loss of function.
- Contractures.
Nailfold reconstruction for the correction of burn fingernail deformity is a procedure that can be used to treat nail deformities after thermal injury. Srivastava et al. (2022) conducted a study on Yang's Onion Flap Technique for Release of Scarred Eponychium and Nail Fold Reconstruction in Burn Patients. The study found that nailfold reconstruction can be an effective treatment for scarred eponychium in burn patients.
Donelan et al. (2006) also discussed the management of fingernail deformities after thermal injury, including the use of nailfold reconstruction for the correction of burn fingernail deformity. The study concluded that nailfold reconstruction can be an effective treatment for burn fingernail deformity.
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Physical therapy
Burn victims may experience nail deformities after thermal injury. Fingernails may be discoloured, cleft or vertically deviated. Joint deformities are also common.
The aim of physical therapy and splinting after hand burn injury is to maintain mobility, prevent the development of contracture and to promote the functionality of hand and good cosmetic results.
Over a two-year period, 153 patients with burned hands were treated in the Groningen Burn Centre. Seven of these patients developed abnormal quality and growth pattern of the fingernails. In two patients, an effort was made to correct the deformity by incising the dorsal skin at the base of the nail fold, reflecting the nail fold and covering the acquired defect with a full thickness skin graft.
A comprehensive understanding of the effect of hand thermal injury can improve rehabilitation outcomes and prevent burn-related issues. Rehabilitation of hand burn injuries is important as hand burn injuries often result in limited hand function especially flexion/extension of fingers and present a major hindrance in rehabilitation.
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Frequently asked questions
Yes, fingernails can regrow after hand burns. However, nail deformities can occur as a result of thermal injury. Fingernails may be discoloured, cleft or vertically deviated. Nailfold reconstruction can be used to correct burn fingernail deformities.
Minor burns require immediate action but often don’t require a trip to the emergency room. You should run cool water over your finger or hand for 10 to 15 minutes. After flushing the burn, cover it with a dry, sterile bandage. If necessary, take over-the-counter (OTC) pain medication such as ibuprofen (Advil, Motrin), naproxen (Aleve), or acetaminophen (Tylenol). Once it’s cooled, put on a thin layer of a moisturizing lotion or gel such as aloe vera.
Joint deformities are some of the common complications following a thermal injury to the hands. Hand burn injuries often result in limited hand function especially flexion/extension of fingers and present a major hindrance in rehabilitation.