Pediatric Factors Discussion

Pediatric Factors: The management of upper extremity problems is more complex and outcome less predictable in the pediatric age group for a variety of reasons. In the early management phase, lack of communication increases diagnostic uncertainty, particularly in the staging of possible nerve or tendon disorders. Lack of full cooperation may greatly affect the final result. The risk of complication or failure is particularly increased for procedures which require either regular exercise or a strict immobilization protocol after surgery. Dressings and casts are much more likely to become dislodged or soiled. Hypertrophic scars are much more common in the pediatric population, and may seriously affect ultimate outcome. Effects of surgery or injury on later growth may be progressive and require treatment years after the initial problem appeared to have stabilized.

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