Positioning Strategies for Common Deformities from Burns

Question 1

What common deformity forms at the neck

Answer 1

Flexion

Question 2

What common deformity forms at the Shoulder and Axilla

Answer 2

Adduction + IR

Question 3

What common deformity forms at the Elbow

Answer 3

Flexion + Pronation

Question 4

What common deformity forms at the Hand

Answer 4

Claw Hand (aka intrinsic minus hand)

Question 5

What common deformity forms at the Hip and Groin

Answer 5

Flexion and Adduction

Question 6

What common deformity forms at the Knee

Answer 6

Flexion

Question 7

What common deformity forms at the Ankle

Answer 7

Plantar Flexion

Question 8

Approach to prevent neck deformity

Answer 8

Position neck into extension

with healing use rigid cervical orthosis

Question 9

Approach to prevent Shoulder-Axilla Deformity

Answer 9

Shoulder flexed and abducted + ER (airplane splint)

Question 10

Approach to prevent Elbow Deformity

Answer 10

Splint in Extension + Supination (can use posterior elbow splint)

Question 11

Approach to prevent Hand Deformity

Answer 11

Wrap each finger individually

• Wrist Extension
• MCP Flexion
• PIP & DIP Extension
• Thumb Abduction

(intrinsic plus hand position)

Question 12

Approach to prevent Hip + Groin Deformity

Answer 12

Hip in Neutral + Slight Abduction

Question 13

Approach to prevent Knee Deformity

Answer 13

Posterior Knee Splint, to go into extension

Question 14

Approach to prevent Ankle Deformity

Answer 14

Plastic AFO, ankle in neutral.