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What is most common deformity in hand burns
Boutonniere
Most frequent burn deformities
Thumb web space contracture
PIPJ flexion contracture
5th digit boutonniere deformity
MCPJ hyperextension deformity - high incidence in 4th and 5th digits
What causes boutonniere deformity in burn hand
-Direct burn to extensor apparatus
-Tendon ischaemia- extensor tendon compressed between escharology and proximal phalanx with PIPJ flexion
-scar banding - volar to axis of PIPJ
-descration of exposed extensor tendon from bacteria and infection
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