Hand surgery and hand therapy clinical practice guideline for epidermolysis bullosa

Abstract What is already known about this topic? Epidermolysis bullosa (EB) causes blistering and scarring of the hands resulting in contractures fused web spaces and altered function. Surgery is needed to release contractures and web spaces and hand therapy is essential to maintain results, approac...

Full description

Bibliographic Details
Main Authors: Rachel Box, Catina Bernardis, Alexander Pleshkov, Nicky Jessop, Catherine Miller, Jennifer Skye, Virginia O’Brien, Matthew Veerkamp, Anna Carolina Ferreira da Rocha, Roger Cornwall
Format: Article
Language:English
Published: BMC 2022-11-01
Series:Orphanet Journal of Rare Diseases
Online Access:https://doi.org/10.1186/s13023-022-02282-0
_version_ 1798018188678529024
author Rachel Box
Catina Bernardis
Alexander Pleshkov
Nicky Jessop
Catherine Miller
Jennifer Skye
Virginia O’Brien
Matthew Veerkamp
Anna Carolina Ferreira da Rocha
Roger Cornwall
author_facet Rachel Box
Catina Bernardis
Alexander Pleshkov
Nicky Jessop
Catherine Miller
Jennifer Skye
Virginia O’Brien
Matthew Veerkamp
Anna Carolina Ferreira da Rocha
Roger Cornwall
author_sort Rachel Box
collection DOAJ
description Abstract What is already known about this topic? Epidermolysis bullosa (EB) causes blistering and scarring of the hands resulting in contractures fused web spaces and altered function. Surgery is needed to release contractures and web spaces and hand therapy is essential to maintain results, approaches for both differ. What does this study add? These guidelines aim to provide information on the surgical and conservative therapeutic hand management of children and adults diagnosed with EB. They are based on available evidence and expert consensus to assist hand surgeons and therapists in decision making, planning and treatment. They highlight the importance of a holistic multidisciplinary team (MDT) approach, where patient priorities are paramount.
first_indexed 2024-04-11T16:19:53Z
format Article
id doaj.art-5a272292edc44651a20b3c4262ccf1f7
institution Directory Open Access Journal
issn 1750-1172
language English
last_indexed 2024-04-11T16:19:53Z
publishDate 2022-11-01
publisher BMC
record_format Article
series Orphanet Journal of Rare Diseases
spelling doaj.art-5a272292edc44651a20b3c4262ccf1f72022-12-22T04:14:25ZengBMCOrphanet Journal of Rare Diseases1750-11722022-11-0117112110.1186/s13023-022-02282-0Hand surgery and hand therapy clinical practice guideline for epidermolysis bullosaRachel Box0Catina Bernardis1Alexander Pleshkov2Nicky Jessop3Catherine Miller4Jennifer Skye5Virginia O’Brien6Matthew Veerkamp7Anna Carolina Ferreira da Rocha8Roger Cornwall9Hand Therapy Department, Guy’s and St Thomas’ NHS Foundation TrustHand Surgery Department, Guy’s and St Thomas’ NHS Foundation TrustFederal State Budgetary Institution All-Russian Centre for Emergency and Radiation MedicineClinical Specialist Congenital Hand Anomalies and Dermatology, Great Ormond Street Hospital for Children NHS Foundation Trust, Occupational TherapyPlastic Surgery/Dermatology, Great Ormond Street Hospital for Children, NHS Foundation TrustFairview Health Services/M Health, University of MinnesotaFairview Health Services/M Health, University of MinnesotaCincinnati Children’s Hospital and Medical CentreDEBRA BrazilOrthopaedic Surgery and Developmental Biology, Cincinnati Children’s HospitalAbstract What is already known about this topic? Epidermolysis bullosa (EB) causes blistering and scarring of the hands resulting in contractures fused web spaces and altered function. Surgery is needed to release contractures and web spaces and hand therapy is essential to maintain results, approaches for both differ. What does this study add? These guidelines aim to provide information on the surgical and conservative therapeutic hand management of children and adults diagnosed with EB. They are based on available evidence and expert consensus to assist hand surgeons and therapists in decision making, planning and treatment. They highlight the importance of a holistic multidisciplinary team (MDT) approach, where patient priorities are paramount.https://doi.org/10.1186/s13023-022-02282-0
spellingShingle Rachel Box
Catina Bernardis
Alexander Pleshkov
Nicky Jessop
Catherine Miller
Jennifer Skye
Virginia O’Brien
Matthew Veerkamp
Anna Carolina Ferreira da Rocha
Roger Cornwall
Hand surgery and hand therapy clinical practice guideline for epidermolysis bullosa
Orphanet Journal of Rare Diseases
title Hand surgery and hand therapy clinical practice guideline for epidermolysis bullosa
title_full Hand surgery and hand therapy clinical practice guideline for epidermolysis bullosa
title_fullStr Hand surgery and hand therapy clinical practice guideline for epidermolysis bullosa
title_full_unstemmed Hand surgery and hand therapy clinical practice guideline for epidermolysis bullosa
title_short Hand surgery and hand therapy clinical practice guideline for epidermolysis bullosa
title_sort hand surgery and hand therapy clinical practice guideline for epidermolysis bullosa
url https://doi.org/10.1186/s13023-022-02282-0
work_keys_str_mv AT rachelbox handsurgeryandhandtherapyclinicalpracticeguidelineforepidermolysisbullosa
AT catinabernardis handsurgeryandhandtherapyclinicalpracticeguidelineforepidermolysisbullosa
AT alexanderpleshkov handsurgeryandhandtherapyclinicalpracticeguidelineforepidermolysisbullosa
AT nickyjessop handsurgeryandhandtherapyclinicalpracticeguidelineforepidermolysisbullosa
AT catherinemiller handsurgeryandhandtherapyclinicalpracticeguidelineforepidermolysisbullosa
AT jenniferskye handsurgeryandhandtherapyclinicalpracticeguidelineforepidermolysisbullosa
AT virginiaobrien handsurgeryandhandtherapyclinicalpracticeguidelineforepidermolysisbullosa
AT matthewveerkamp handsurgeryandhandtherapyclinicalpracticeguidelineforepidermolysisbullosa
AT annacarolinaferreiradarocha handsurgeryandhandtherapyclinicalpracticeguidelineforepidermolysisbullosa
AT rogercornwall handsurgeryandhandtherapyclinicalpracticeguidelineforepidermolysisbullosa