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Forum Name: Dermatology Topics

Question: Second Degree Burn Contracture


 joanna_d - Wed Dec 30, 2009 3:05 pm

Received second degree burn on top of finger from tip to middle knuckle. Blister has broken, skin is now deep burgundy color. Problem is...skin is healing too tight and small joint/knuckle just below nail barely bends. Can I soak injury to soften and exercise it to stretch and bend properly? Or is there something else to loosen skin so I have use of finger.
 Dr.M.Aroon kamath - Sun Feb 14, 2010 6:24 am

User avatar Hi,
Physiotherapy is mandatory for all but the most trivial burns of the hand to prevent stiffness and loss of function.

Before physiotherapy is planned, it is crucial to accurately estimate the depth of the burn.

In deep dermal and full thicness burns of digits, it is important to determine whether the extensor apparatus is involved or not.If the extensor apparatus is indeed involved, excessive active flexion (ex,fist-making) or forced passive flexion of the interphalangeal (IP) joint may disrupt the extensor apparatus and therefore should be avoided.
Splints should be ideally worn at all times and are removed only at dressing changes or physiotherapy sessions.

So,i would recommend that you must get your burn injury assessed and should undergo physiotherapy under supervision.
Good luck!

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