Aggressive treatment is important to avoid a functional scar contracture. A burn surgeon, and then a pediatric hand specialist can help improve longterm prospects.
Raffy Karamanoukian MD FACS
Any burns in children, or burns on the hands and feet meet criteria for transfer to a regional burn center. The child should be evaluated at an emergency department regardless, if this has not happened already.
The hands and feet are the thickest skin on the body, and it is very hard to get a full thickness injury (that will require surgery) in these areas.
I generally treat hand burns with silvadene, or silverlon gloves; aggressive physical therapy and close follow up to ensure that there is no infection and that hand range of motion is preserved.
It appears the area is still actively healing. I would follow the wound care recommendations from your doctors and silverdene is a good agent for wound care. Once the area has healed, the scarring depends on the depth of the burn injury. There is a wonderful dermatologist in Miami who treats many burn scars with lasers named Jill Waibel. If there are any contractures or excessive scar tissue, it might be useful to see her. Good luck.