Pearls

• Early intervention with epi-physiodesis has been effective in preventing longitudinal overgrowth.

• Epiphysiodeses should be performed when that segment of the child's digit is approximately the same size as the same gender parent.

• For circumferential bulk reduction, surgery should be performed in two stages with debulking on one side in the first stage, and debulking on the other side of the digit as a second stage in 3 to 6 months.

• Individualize the treatment plan based on the degree and extent of the deformity.

• If the size is significant and the function poor, recommend amputation early, prior to multiple operative interventions.

Peripheral Neuropathy Natural Treatment Options

Peripheral Neuropathy Natural Treatment Options

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