AORN journal
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Growth arrests may occur after fractures, burns, and frostbite injuries, but children generally have a better prognosis from most hand and forearm injuries than adults. Stiffness is less frequent, open wounds heal faster, remodeling of angular deformities may occur, and nerve recovery following repair is significantly better than adults. Parents should be aware of potential problems and the need for follow-up care for evaluating growth and scar development. ⋯ Despite careful attention to a child's surroundings, some children will require emergency care for traumatic hand injuries. Health care workers must provide emotional support for parents who may feel guilty about their child's injury. They also must be prepared to give skilled clinical care guided by the child's development and the needs of the family members.