Presentation
At delivery, which was videotaped by the father, the fetal head presented over an intact perineum in a right-occiput-anterior position. [ncbi.nlm.nih.gov]
The anatomical basis of the clinical presentations has not been described in the literature, thus clinical diagnosis is difficult. In the current paper, case of Erb’s palsy in an adult is presented. [medcrave.com]
In the current paper, case of Erb’s palsy in an adult is presented and the anatomical bases of the clinical presentations are discussed. [medcraveonline.com]
Entire Body System
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Localized Pain
In 4 patients, the plate and screws were removed because of complaints of local pain. There were no cases of infection or additional neurological lesions. DISCUSSION Obstetric palsy treatments vary according to the phase of the disease. [scielo.br]
Musculoskeletal
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Hand Deformity
It is named after Augusta Déjerine-Klumpke. [7] [8] [9] Signs and symptoms [ edit ] Symptoms include intrinsic minus hand deformity, [10] paralysis of intrinsic hand muscles, and C8/T1 Dermatome distribution numbness. [en.wikipedia.org]
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Stiffness of the Shoulder
Parents will likely be directed to do Passive Range Of Motion (PROM) exercises with their baby to reduce stiffness in the shoulder and prevent joint contracture. [doctoralerts.com]
Psychiatrical
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Hysteria
Paralysis resulting from hysteria has no organic basis and is a result of emotional disturbance or mental illness. Causes of Peripheral Paralysis. [medical-dictionary.thefreedictionary.com]
Neurologic
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Flaccid Paralysis
Called also Erb's palsy. facial paralysis weakening or paralysis of the facial nerve, as in bell's palsy. familial periodic paralysis a hereditary disease with recurring attacks of rapidly progressive flaccid paralysis, associated with a fall in (hypokalemic [medical-dictionary.thefreedictionary.com]
Lower plexus and total plexus injuries (often signified by flaccid paralysis of an entire arm, or diaphragmatic injury, or Horner’s syndrome) have worse prognoses. [pedclerk.bsd.uchicago.edu]
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Flail Arm
arm due to C5 through T1 avulsion in young children. [unboundmedicine.com]
A flail arm or Horner's syndrome at three months may justify earlier surgery ( 26 ). Overall, based on retrospective case studies, approximately two-thirds of patients undergoing surgical exploration show improvement ( 29 ). [academic.oup.com]
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Neglect
Do you think your child’s Erb’s palsy was caused by medical malpractice or neglect by a doctor or medical professional? Call me today at 1-800-55-Misny and we’ll discuss your case. I will fight for and “I’ll Make Them Pay! [misnylaw.com]
Waters et al. ( 8 ) demonstrated that glenoid abnormalities showed little improvement with muscle-tendon stretching, even when performed in association with muscle transfers, if the presence of bony deformities was neglected. [scielo.br]
Workup
Order a neurologic evaluation to recommend further workup and to establish baseline loss of function so that improvement may be monitored. [pedclerk.bsd.uchicago.edu]
Utility of ultrasound in noninvasive preoperative workup of neonatal brachial plexus palsy. Pediatr Radiol. 2015 Dec 30. [Medline]. van der Holst M, Groot J, Steenbeek D, Pondaag W, Nelissen RG, Vliet Vlieland TP. [emedicine.medscape.com]
Treatment
Treatment The three most common treatments for Erb’s Palsy are : Nerve transfers (usually from the opposite arm or limb), Sub Scapularis releases and Latissimus Dorsi Tendon Transfers. [doctoralerts.com]
Initial Treatment Involves Reassurance And Waiting: typically this condition will self resolve on its own by 3-6 months of age. Neuroplasty If Conditoin Persists: this treatment is performed if this condition persists beyond 3-6 months of age. [stepwards.com]
[…] risk factors, causes, signs & symptoms, diagnosis, complications, treatment, prevention, prognosis, and additional useful information HERE. [dovemed.com]
Prognosis
Prognosis The prognosis for Erb’s palsy depends on where the injury took place and how much severe it is. [doctoralerts.com]
[…] surgical methods treatment measures are available to treat Erb’s Palsy Please find comprehensive information on Erb’s Palsy regarding definition, distribution, risk factors, causes, signs & symptoms, diagnosis, complications, treatment, prevention, prognosis [dovemed.com]
Incidence and prognosis. Clin Orthop 1975;110:32-4. Eng GD, Koch B, Smokvina MD. Brachial plexus palsy in neonates and children. Arch Phys Med Rehabil. 1978;59(10):458-64. Gherman RB. [ijrcog.org]
Most individuals with neuropraxia injuries recover spontaneously with a 90-100 percent return of function. x Prognosis The site and type of brachial plexus injury determines the prognosis. [ninds.nih.gov]
Etiology
The etiology of Brachial Plexus Injury is multifactorial. [pedclerk.bsd.uchicago.edu]
Obstetric paralysis: Its etiology, pathology, clinical aspects and treatment, with a report of four hundred and seventy cases. Am J Dis Child. 1916. 12:541-78. Gilbert A, Tassin JL. Obstetrical palsy: a clinical, pathologic, and surgical review. [emedicine.medscape.com]
Epidemiology
Although the ability to predict brachial plexus injury antenatally remains elusive, knowledge of its epidemiology, risk factors, variations in presentation, prognosis, and management can guide therapeutic decisions and potentially avoid lifelong disability [pedsinreview.aappublications.org]
Resources Images and videos References View PDF Epidemiology Erb palsy is a type of brachial plexus birth ... ... [sok.helsebiblioteket.no]
Epidemiology It is rare. In the USA the incidence has been quoted as 1.6-2.9 per 1,000 live births. [ 1 ] Upper plexus palsies are more common than lower plexus palsies. 50% of cases are associated with shoulder dystocia. [patient.info]
Midha R (1997) Epidemiology of brachial plexus injuries in a multitrauma population. Neurosurgery 40;1182–1189 PubMed CrossRef Google Scholar 6. [link.springer.com]
Epidemiology [ edit ] Klumpke Palsy is listed as a 'rare disease' by the Office of Rare Diseases (ORD) of the National Institutes of Health (NIH). [en.wikipedia.org]
Pathophysiology
Nov 16; 55(10):619-25 Collado-Vazquez S, Jimenez-Antona C, Carrillo JM CONCLUSIONS: Since the first clinical description of obstetric brachial palsy by Smellie and the reports of the different types of brachial palsy by Duchenne, Erb and Klumpke, many pathophysiological [unboundmedicine.com]
Relevant Anatomy and Pathophysiology Brachial plexus is formed of nerves roots from C5-T1 vertebra. As these roots come out, C5 and C6 join to form the upper trunk, C7 travels alone as the middle trunk, and C8-T1 join as the lower trunk. [boneandspine.com]
The pathophysiology appears to be thrombophlebitis of the vasa vasorum or an arterial embolism causing ischemic nerve damage ( 9 ). NEUROPATHOLOGY The injury is usually where nerve roots form the trunks of the brachial plexus. [academic.oup.com]
Pathophysiology To understand the clinical presentation of brachial plexus palsy (BPP) and provide anticipatory guidance for families affected by the condition, the clinician must first know basic anatomy. [emedicine.medscape.com]
Prevention
Prevention of bacterial endocarditis. [books.google.com]
This labor abnormality is not preventable and may contribute, in many ways, to the neurologic complication. [ncbi.nlm.nih.gov]
Treatment When a simple stretch injury or mild tear occurs, it is possible for Erb’s palsy to heal without medical assistance (although physical therapy to prevent stiffness in the arm is recommended). [cerebral-palsy-information.com]
[…] nonsurgical and surgical methods treatment measures are available to treat Erb’s Palsy Please find comprehensive information on Erb’s Palsy regarding definition, distribution, risk factors, causes, signs & symptoms, diagnosis, complications, treatment, prevention [dovemed.com]