Abstract
Flexor tendon injuries in children are unique injuries because of the difficulty in diagnosis, poor cooperation of the patient, and the small size of the structures. A high index of suspicion for a flexor tendon laceration in the injured digit of a child must exist, because 25% of these injuries are initially missed. Primary repair should be performed for all ages, in all zones, and for all tendons within 4 weeks of the injury. The repair technique is similar to that of an adult, but the postoperative program must be tailored to the level of cooperation of the patient and parent. Tenolysis and tendon grafting is reserved for children older than 6 years who can actively participate in the treatment program.
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