Chim Harvey, Buchanan Patrick J, Chopan Mustafa
Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Florida Health, Gainesville, Florida, United States.
J Hand Microsurg. 2020 Dec;12(3):201-203. doi: 10.1055/s-0039-1680279. Epub 2019 Mar 1.
Contractures from burns or other trauma generally manifest as discrete areas of skin deficiency or localized scar bands in the hand, and are treated successfully with release and resurfacing of the affected area. We report a case of generalized bilateral skin tightness in the hand from severe childhood burns, with no obvious localized area of contracture, manifesting with pain and numbness when making a fist and with certain activities. This was treated with release and resurfacing of the first webspace with bilateral free lateral arm flaps as well as endoscopic carpal tunnel release, resulting in increased laxity of skin throughout both hands, and resolution of dynamic symptoms with activity.
烧伤或其他创伤导致的挛缩通常表现为手部皮肤缺损的离散区域或局部瘢痕带，通过对受影响区域进行松解和植皮可成功治疗。我们报告一例因严重儿童烧伤导致手部双侧广泛性皮肤紧绷的病例，无明显局部挛缩区域，握拳及进行某些活动时出现疼痛和麻木。采用双侧游离上臂外侧皮瓣对第一掌骨间隙进行松解和植皮以及内镜下腕管松解术进行治疗，双手皮肤松弛度增加，活动时的动态症状得以缓解。
