Marchalik Rachel, Rada Erin M, Albino Frank P, Sauerhammer Tina M, Boyajian Michael J, Rogers Gary F, Oh Albert K
Division of Plastic Surgery, Children's National Medical Center, Washington, D.C.
Plast Reconstr Surg Glob Open. 2018 Dec 4;6(12):e2048. doi: 10.1097/GOX.0000000000002048. eCollection 2018 Dec.
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.
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.
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 ( = 0.0001). Unlike treadmill burns, vacuum cleaner injuries affected the dorsal hand or a single digit ( = 0.00004). Scar hyperpigmentation was more prevalent in these patients compared with the treadmill group ( = 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.
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.
家用电动设备导致的上肢摩擦烧伤在儿科人群中是一个日益严重的问题。本研究的目的是回顾这种特殊类型的儿科损伤机制的病因、表现、特征及治疗方法。
采用国际疾病分类第9版编码，对一家大型三级独立儿童医院治疗的患者进行回顾性病历审查，以确定2003年至2012年期间所有出现上肢摩擦烧伤的患者。
69例患者发生上肢摩擦烧伤。受伤时的平均年龄为3.3岁（范围0.7 - 10.6岁），受伤后16.6天（范围0 - 365天）到我们中心就诊。平均随访时间为23.3个月（范围2 - 104个月）。损伤机制包括跑步机（n = 63）和吸尘器（n = 6）。21例患者（30%）接受了28次手术。所有需要手术干预的患者均因跑步机机制受伤（P = 0.0001）。与跑步机烧伤不同，吸尘器损伤累及手背或单个手指（P = 0.00004）。与跑步机组相比，这些患者的瘢痕色素沉着更为普遍（P = 0.003）。所有吸尘器致烧伤患者仅通过保守治疗即可获得完全的活动范围和功能，而跑步机烧伤患者中只有55.6%的患者活动范围完全恢复，50.8%的患者手部功能完全恢复。
吸尘器导致的摩擦烧伤较为少见，具有不同的损伤模式，可通过保守治疗获得良好的功能结局。跑步机摩擦烧伤会导致更严重的损伤和功能障碍风险，需要手术干预。
