The treatment of the pediatric hand patient

Valeri Calhoun, MS, OTR/L, CHT

January 18, 2016

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Question

Do you find with fractures, unlike with tendon laceration, children can be more active earlier than adults? 

Answer

I want to see some evidence of healing on the x-ray prior to getting them to move quicker.  There is no research that shows a pediatric fracture heals any quicker, other than if it is a buckle fracture or torus fracture.  Those will heal quicker, because they are not a complete fracture and you do not disrupt the periosteum.


valeri calhoun

Valeri Calhoun, MS, OTR/L, CHT

Valeri is an occupational therapist with over 30 years of experience in a variety of settings, with the last 8 being in an exclusive pediatric hand therapy setting. She received a BS in OT from Indiana University, and an MS in Community Health from The University of Kansas. Valeri has been a Certified hand Therapist since 1994. In addition to working in clinical settings, Valeri’s experience includes over 15 years teaching at the graduate level for occupational therapy programs in the Midwest. She has provided professional presentations and lectures both nationally and internationally for therapists on a variety of therapy topics. For the past six years, she was on the faculty of the CHT test prep course for ASHT. Valeri is an active member in a pediatric hand surgeon and therapist special interest group.  She is involved in research projects regarding pediatric orthopedic care, and has published results.  She was co-author of a pediatric hand therapy protocol book.  She was implemental in the development and execution of Hand Camp, a camp for children with upper limb differences. Her special interest areas of practice include splinting for orthopedic populations, children with arthrogryposis and congenital hand differences.


Related Courses

Evaluation and Treatment of Pediatric Hand Conditions - Part 1
Presented by Valeri Calhoun, MS, OTR/L, CHT
Video

Presenter

Valeri Calhoun, MS, OTR/L, CHT
Course: #2390Level: Intermediate1 Hour
  'In an hour a lot about pediatric hand therapy was covered'   Read Reviews
Part I: This course will outline the evaluation and treatment principles for the pediatric orthopedic hand patient, including the traumatic hand injured patient, and how it differs from the adult hand population. This course will provide specific evaluation techniques along with treatment ideas.

Please note: This course is also offered in a series of recordings titled "Series: The Pediatric Hand", course 2624 which is offered for AOTA/0.2 and NBCOT/2.5.

This course is part of the “Hand and Upper Extremity Review Series.”

The Treatment of the Pediatric Hand Patient: Part II "Congenital Conditions"
Presented by Valeri Calhoun, MS, OTR/L, CHT
Video

Presenter

Valeri Calhoun, MS, OTR/L, CHT
Course: #2515Level: Intermediate1 Hour
  'Great diagnoses based course'   Read Reviews
This presentation will build on the foundational information provided in Part I. It provides the learner with specific information on the evaluation and treatment of the congenital hand patient and the unique challenges this brings to the Occupational Therapist. Explore functional issues unique to this population and OT interventions that may assist in improving their abilities.

Please note: This course is also offered in a series of recordings titled "Series: The Pediatric Hand", course 2624 which is offered for AOTA/0.2 and NBCOT/2.5.

This course is part of the “Hand and Upper Extremity Review Series.”

Series: The Pediatric Hand
Presented by Valeri Calhoun, MS, OTR/L, CHT
Video

Presenter

Valeri Calhoun, MS, OTR/L, CHT
Course: #2624Level: Intermediate2 Hours
  'great details!'   Read Reviews
Part I: This course will outline the evaluation and treatment principles for the pediatric orthopedic hand patient, including the traumatic hand injured patient, and how it differs from the adult hand population. This course will provide specific evaluation techniques along with treatment ideas. Part II: This presentation will build on the foundational information provided in Part I. It provides the learner with specific information on the evaluation and treatment of the congenital hand patient and the unique challenges this brings to the Occupational Therapist. Explore functional issues unique to this population and OT interventions that may assist in improving their abilities.

Please note: This course series is comprised of the following individual recordings: #2533 and #2599.

This course is part of the “Hand and Upper Extremity Review Series.”

Cerebral Palsy and Post-Op Treatment
Presented by Valeri Calhoun, MS, OTR/L, CHT
Video

Presenter

Valeri Calhoun, MS, OTR/L, CHT
Course: #3437Level: Intermediate1 Hour
  'Fast-paced course, would only recommend if you have significant knowledge of CP and are already practicing CP'   Read Reviews
This course will cover potential upper extremity surgeries for the individual with Cerebral Palsy, post-operative therapy protocols and anticipated functional changes related to the surgeries.

Editor's note: Please note that corrections have been made to the handout. If you are interested in the receiving a copy of the splint picture, please email the presenter directly to request this.

The Pediatric Thumb
Presented by Valeri Calhoun, MS, OTR/L, CHT
Video

Presenter

Valeri Calhoun, MS, OTR/L, CHT
Course: #3961Level: Intermediate1 Hour
  'Extremely knowledgeable!'   Read Reviews
This course will provide education in both congenital and traumatic thumb conditions in the pediatric populations and therapeutic treatment to address the conditions.