{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T16:10:25Z","timestamp":1723133425890},"reference-count":10,"publisher":"Akademiai Kiado Zrt.","issue":"14","license":[{"start":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T00:00:00Z","timestamp":1648944000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2022,4,3]]},"abstract":"<jats:p><jats:bold>\u00d6sszefoglal\u00f3.<\/jats:bold> Elektromos \u00e1ram okozta \u00e9g\u00e9si s\u00e9r\u00fcl\u00e9sek gyermekkorban\n                    ritk\u00e1n fordulnak el\u0151, az \u00f6sszes \u00e9g\u00e9s mind\u00f6ssze 2\u201310%-\u00e1t teszik ki. Neh\u00e9zs\u00e9get\n                    okozhat a s\u00e9r\u00fcl\u00e9s val\u00f3di s\u00falyoss\u00e1g\u00e1nak meghat\u00e1roz\u00e1sa a kicsiny ki- \u00e9s bemeneti\n                    sebek miatt. \u00c1ram\u00e9g\u00e9sek sor\u00e1n a legt\u00f6bb esetben m\u00e9ly necrosis alakul ki. Ilyen\n                    s\u00e9r\u00fcl\u00e9sek eset\u00e9n a b\u0151r, a l\u00e1gy r\u00e9szek, a csontok, illetve fiatal \u00e9letkorban a\n                    n\u00f6veked\u00e9si z\u00f3na s\u00e9r\u00fcl\u00e9s\u00e9vel is sz\u00e1molni kell, ami n\u00f6veked\u00e9si zavart \u00e9s ez\u00e1ltal\n                    m\u00e1sodlagos deformit\u00e1sokat okozhat. Jelen esettanulm\u00e1nyunk c\u00e9lja az \u00e1ram\u00e9g\u00e9s\n                    sor\u00e1n l\u00e9trej\u00f6tt gyermekkori k\u00e9zujjs\u00e9r\u00fcl\u00e9sek ell\u00e1t\u00e1s\u00e1nak \u00e9s k\u00e9s\u0151i sz\u00f6v\u0151dm\u00e9nyeinek\n                    bemutat\u00e1sa. Egy 15 \u00e9ves fi\u00fagyermek izz\u00f3csere k\u00f6zben r\u00e1fogott egy vezet\u00e9kre, ami\n                    a jobb mutat\u00f3ujj\u00e1n \u00e9g\u00e9si s\u00e9r\u00fcl\u00e9st okozott. Distalis interphalangealis \u00edz\u00fclete\n                    felett volarisan 25 \u00d7 14 millim\u00e9ter nagys\u00e1g\u00fa bemeneti, dorsalisan a k\u00f6r\u00f6m\u00e1gy\n                    lateralis sz\u00e9l\u00e9n 8 \u00d7 7 millim\u00e9teres kimeneti \u00e1ramjegy volt l\u00e1that\u00f3 feh\u00e9r,\n                    necroticus sebalappal, mely III . fok\u00fa \u00e9g\u00e9si s\u00e9r\u00fcl\u00e9snek bizonyult. A m\u00e9ly \u00e9g\u00e9si\n                    s\u00e9r\u00fcl\u00e9s miatt necrectomia, keresztlebeny-plasztika \u00e9s az ad\u00f3ter\u00fclet teljes\n                    vastags\u00e1g\u00fa b\u0151rrel v\u00e9gzett transzplant\u00e1l\u00e1sa t\u00f6rt\u00e9nt. A primer rekonstrukci\u00f3t\n                    k\u00f6vet\u0151en h\u00e1rom h\u00e9ttel a lebeny lev\u00e1laszt\u00e1s\u00e1ra ker\u00fclt sor. A nyomon k\u00f6vet\u00e9s sor\u00e1n\n                    a mutat\u00f3ujj k\u00f6r\u00f6mperc-devi\u00e1ci\u00f3ja volt \u00e9szlelhet\u0151. A r\u00f6ntgenvizsg\u00e1lat a\n                    k\u00f6r\u00f6mpercb\u00e1zis \u00edzfelsz\u00edn\u00e9t is \u00e9rint\u0151 csonthi\u00e1nyt igazolt. Egy 2 \u00e9ves\n                    le\u00e1nygyermek sz\u00f6ggel ny\u00falt a konnektorba, emiatt h\u00fcvelykujj\u00e1n \u00e9s tenyer\u00e9n\n                    keletkezett \u00e9g\u00e9si s\u00e9r\u00fcl\u00e9s. Interphalangealis \u00edz\u00fclete felett dorsalisan \u00e9s\n                    volarisan, valamint a hypothenar ter\u00fclet\u00e9n III. fok\u00fa \u00e9g\u00e9si s\u00e9r\u00fcl\u00e9s volt l\u00e1that\u00f3.\n                    Necrectomi\u00e1t k\u00f6vet\u0151en a h\u00fcvelykujj ventralis b\u0151rdefektus\u00e1nak z\u00e1r\u00e1sa elforgatott\n                    lebennyel, a donorter\u00fclet \u00e9s a dorsalis b\u0151rdefektus fed\u00e9se teljes vastags\u00e1g\u00fa\n                    b\u0151rrel t\u00f6rt\u00e9nt. A gyermek nyomon k\u00f6vet\u00e9se jelenleg is zajlik, r\u00f6vid t\u00e1von a\n                    csont\u00e9rintetts\u00e9g okozta v\u00e9gperc-devi\u00e1ci\u00f3 l\u00e1that\u00f3. A gyermekek hossz\u00fa t\u00e1v\u00fa nyomon\n                    k\u00f6vet\u00e9se sz\u00fcks\u00e9ges a k\u00e9s\u0151i sz\u00f6v\u0151dm\u00e9nyek felismer\u00e9se \u00e9s kezel\u00e9se c\u00e9lj\u00e1b\u00f3l. Orv\n                    Hetil. 2022; 163(14): 564\u2013568.<\/jats:p>\n                <jats:p><jats:bold>Summary.<\/jats:bold> Pediatric electrical injuries are rare; they only\n                    constitute 2\u201310% of all burn causes. Determination of their actual severity may\n                    be challenging due to their small entry and exit wounds. Deep necrosis develops\n                    during electrical burns in most cases. These injuries can damage the skin, soft\n                    and bone tissues, and in children, the growth plate, which may cause secondary\n                    deformities. The objective of these case reports was the presentation of\n                    paediatric electrical finger injuries\u2019 management and late-onset complications.\n                    A 15-year-old boy touched an electric wire while changing a lightbulb, which\n                    caused a burn injury on his right index finger. During the physical examination,\n                    a 25 \u00d7 14 mm, third-degree burn was identified volarly, above the distal\n                    interphalangeal joint as an entry wound, and an 8 \u00d7 7 mm exit site occurred\n                    dorsally at the nailbed\u2019s lateral edge. Necrectomy and cross finger flap surgery\n                    were performed. The cross flap was separated three weeks after the primary\n                    reconstruction. Throughout the follow-up examinations, the ulnar deviation of\n                    the distal digit was observed. X-ray confirmed the bone atrophy of the distal\n                    phalanx base. A 2-year-old girl inserted a nail into the power outlet, causing\n                    third-degree burns on her thumb around the interphalangeal joint and hypothenar\n                    region. After necrectomy, the thumb\u2019s skin defect was reconstructed with a\n                    rotated flap, while the donor site received full-thickness skin graft\n                    transplantation. The follow-up of the child is still ongoing. Long term\n                    follow-up of these patients is necessary to identify and treat late-onset\n                    complications. Orv Hetil. 2022; 163(14): 564\u2013568.<\/jats:p>","DOI":"10.1556\/650.2022.32390","type":"journal-article","created":{"date-parts":[[2022,5,11]],"date-time":"2022-05-11T06:49:17Z","timestamp":1652251757000},"page":"564-568","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":0,"title":["Gyermekkori, \u00e1ram\u00e9g\u00e9s okozta k\u00e9zujjs\u00e9r\u00fcl\u00e9sek ell\u00e1t\u00e1s\u00e1r\u00f3l \u00e9s k\u00e9s\u0151i sz\u00f6v\u0151dm\u00e9nyeir\u0151l"],"prefix":"10.1556","volume":"163","author":[{"given":"Aba","family":"L\u0151rincz","sequence":"first","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Transzl\u00e1ci\u00f3s Medicina Int\u00e9zet, Termofiziol\u00f3gia Tansz\u00e9k P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zs\u00f3fia","family":"Cs\u00e1kv\u00e1ri","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Klinikai K\u00f6zpont, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika, Manu\u00e1lis Tansz\u00e9k& Seb\u00e9szeti, Traumatol\u00f3giai, F\u00fcl-Orr-G\u00e9g\u00e9szeti Oszt\u00e1ly P\u00e9cs, J\u00f3zsef Attila u. 7., 7623 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tibor","family":"M\u00e1th\u00e9","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Klinikai K\u00f6zpont, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Traumatol\u00f3giai \u00e9s K\u00e9zseb\u00e9szeti Klinika P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zsolt","family":"Oberritter","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Klinikai K\u00f6zpont, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika, Manu\u00e1lis Tansz\u00e9k& Seb\u00e9szeti, Traumatol\u00f3giai, F\u00fcl-Orr-G\u00e9g\u00e9szeti Oszt\u00e1ly P\u00e9cs, J\u00f3zsef Attila u. 7., 7623 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e1s","family":"Garami","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Transzl\u00e1ci\u00f3s Medicina Int\u00e9zet, Termofiziol\u00f3gia Tansz\u00e9k P\u00e9cs Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerg\u0151","family":"J\u00f3zsa","sequence":"additional","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, Klinikai K\u00f6zpont, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika, Manu\u00e1lis Tansz\u00e9k& Seb\u00e9szeti, Traumatol\u00f3giai, F\u00fcl-Orr-G\u00e9g\u00e9szeti Oszt\u00e1ly P\u00e9cs, J\u00f3zsef Attila u. 7., 7623 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"737","DOI":"10.1097\/PEC.0b013e318294dd64","article-title":"Pediatric electrical burn injuries: experience of a large tertiary care hospital and a review of electrical injury","volume":"29","author":"1 Glatstein","year":"2013","unstructured":"1 Glatstein MM, Ayalon I, Miller E, et al. 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