1. Obstetrical brachial plexus injuries: Difference between revisions
(Created page with "{{#lst:Neonatal brachial plexus palsy|orthopaedics}} Category:Orthopaedics (POTE course)") |
No edit summary |
||
Line 1: | Line 1: | ||
{{#lst:Neonatal brachial plexus palsy|orthopaedics}} | {{#lst:Neonatal brachial plexus palsy|orthopaedics}} | ||
[[Category:Orthopaedics (POTE course)]] | [[Category:Orthopaedics (POTE course)]] | ||
{{DEFAULTSORT:10._Obstetrical_brachial_plexus_injuries}} |
Revision as of 18:58, 11 September 2024
- Neonatal brachial plexus palsy, also called obstetrical brachial plexus injuries, refers to injuries to the brachial plexus acquired during delivery
- During birth the brachial plexus or its roots may be damaged
- Especially if lateral traction (pulling) is applied to the foetus’ head (shoulder dystocia)
- The condition is uncommon
- The result is paralysis
- Three types exist
- Erb’s type – the upper arm is paralyzed
- This is the most common
- The superior trunk of the brachial plexus is affected
- Klumpke’s type – the forearm is paralyzed
- The inferior trunk of the brachial plexus is affected
- Full brachial plexus palsy
- The whole upper limb is paralyzed
- The whole brachial plexus is affected
- Erb’s type – the upper arm is paralyzed
- Clinical features
- Initially, regardless of type
- The affected upper limb is internally rotated and flappy
- Later
- The affected part experiences paralysis, anaesthesia
- In older children and adults the humerus is shorter
- Initially, regardless of type
- Treatment
- Many cases resolve spontaneously
- Conservative
- Shoulder is positioned in abducted position to prevent contractures
- Surgery
- Nerve graft
- Muscle transfer