A 10-year-old boy is brought to the clinic by his parents due to limited movement in his right hand and wrist. The parents report that the child sustained a severe burn on his right forearm a year ago after accidentally spilling hot water on himself. While the initial burn healed over time, they noticed increasing stiffness and difficulty in using his hand over the past several months. He struggles to fully extend his fingers and wrist, and his grip strength has significantly weakened.

On physical examination, the boy’s right forearm and hand show extensive scar tissue from the previous burn, with noticeable tightening of the skin over the wrist joint. The wrist is flexed, and the fingers are partially curled. There is reduced range of motion and limited ability to extend the fingers or wrist fully. The diagnosis of a burn contracture is made.

The child is referred to an orthopedic surgeon and a physical therapist. Surgical release of the contracture is planned to restore function, followed by intensive rehabilitation to improve mobility and prevent future stiffness.