Erb's palsy

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Erb's palsy
Brachial plexus 2.svg
Synonyms N/A
Pronounce N/A
Specialty N/A
Symptoms Weakness or paralysis of the arm, loss of sensation
Complications Muscle atrophy, contractures
Onset At birth
Duration Varies, can be temporary or permanent
Types N/A
Causes Birth trauma, excessive pulling on the shoulders during delivery
Risks Large birth weight, breech delivery, prolonged labor
Diagnosis Physical examination, EMG, MRI
Differential diagnosis Klumpke's palsy, Cerebral palsy
Prevention N/A
Treatment Physical therapy, occupational therapy, surgery
Medication N/A
Prognosis Good with early treatment, some cases may have permanent weakness
Frequency 1-2 per 1,000 live births
Deaths N/A


Erb's Palsy is a condition that is primarily caused by birth trauma, which can damage the upper nerves in a baby's arm. This damage can lead to partial or complete paralysis of the arm.

Causes

Erb's Palsy is most commonly caused by birth trauma, specifically during difficult labor and delivery. This can occur when the baby's neck is stretched to the side during a delivery, causing damage to the upper nerves. Other causes can include shoulder dystocia, or the use of forceps or vacuum devices during delivery.

Symptoms

The symptoms of Erb's Palsy can vary depending on the severity of the nerve damage. Some babies may have partial paralysis, while others may have complete paralysis. Other symptoms can include loss of sensation in the arm, decreased grip strength, and arm limpness.

Treatment

Treatment for Erb's Palsy can include physical therapy, surgery, and other treatments. Physical therapy can help to improve strength and flexibility in the arm. Surgery may be needed in some cases to repair the damaged nerves. Other treatments can include occupational therapy and the use of splints or braces.

Prognosis

The prognosis for Erb's Palsy can vary depending on the severity of the nerve damage. Some babies may recover fully with treatment, while others may have long-term complications. These can include permanent arm weakness or disability.

See Also

References

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Contributors: Prab R. Tumpati, MD