Upper Extremity Surgery in Children With Cerebral Palsy

Craig Lomita, MD, Marybeth Ezaki, MD and Scott Oishi, MD, FACS J Am Acad Orthop Surg 2010 18

Pediatric patients with cerebral palsy present unique challenges. Any treatment regimen must take into account potential growth, possible sequelae of surgery, and, in some cases, significant behavioral issues. Careful evaluation of motor and sensory function of the extremity and of use patterns is imperative because these findings play a critical role in determining the ultimate success of any intervention. Every patient is addressed independently and treatment individualized. The patient and parents must understand that surgery can address only the function or position of the anatomic area. Surgery will not correct the underlying problem.