Plexus injury and Erbs Palsy Info. Get Brachial Plexus Palsy and Erbs Palsy answers now. Se Habla Espaņol
This web site
intends to provide support, promote public awareness
and serve as an invaluable resource to families
who have suffered
from Brachial Plexus Neuromas, Erb's Palsy Nerve
defects cause by birth related traumas.
network of dividing and anastomosing
nerves within the neck and shoulder
supplied by the C5, C6, C7, C8 and T1
nerves exiting from the spine.
to this structure can occur at birth
and the incidence of this ranges from
0.3 to 2 per 1000 births. Depending
on the severity of this injury some
babies can recover after a few months.
If full recovery has not occurred
within the first months of life, infants
with this injury deserve the attention
of a multi-disciplinary group specializing
in this injury.
to view arm diagram larger
illustration is part of a poster
which depicts the nervous
innervationof the skin and muscles
of the arm.
Doctors can not
say completely what ALL the causes of brachial
plexus injuries in neonates are. It has taken
years to formulate an understanding as to the
full impact of these birth injuries. It was just
recently that the following risk factors described
below have been attributed directly to the cause
of these injuries. Although much advancement has
been made in the study of this injury we still
have a long way to go before these injuries can
be avoided. For now parents must realistically
assess the physical long-term goals of the infant
with the aide of the physician. Corrective surgery
and intense therapy must then follow in the most
severe cases. For more information read the FACTS and Q&A portion of this web
Birth Weight/ Fetal Macrosomia
Diabetes/ Maternal Weight
Birth/ Cesarean/ Vaginal
Plexus Palsy discovered at birth may occur
due to trauma during delivery, trauma
before delivery, amniotic bands, or
congenital chicken pox. The vast
majority of cases of congenital brachial
plexus palsy are due to trauma during delivery.
Many of these neonates have a clear history
of shoulder dystocia and evidence of acute
trauma to other areas of the body. Trauma
prior to the initiation of labor can the
cause of brachial plexus palsy in small
neonates delivered by cesarean section
and without evidence of acute trauma. Most
of these neonates have fixed deformities
of the extremity that implies that the limb
movements have been restricted for a prolonged
period of time.
The presence of fibrillation by electromyography
in the first week of life is strong evidence
that the injury occurred prior to delivery.
Fibrillations probably do not occur until
10 days after nerve injury. Amniotic bands
in the distribution of the shoulder and
neck may produce brachial plexus palsy.
The presence of an amniotic band is diagnostic.
The affected arm is usually deformed and
only partially developed.
for some neonates the cause of their brachial
plexus palsy is the chicken pox.
This often occurs when their mothers develope
chicken a pox during early and middle pregnancy.
It has been proven that neonates with congenital
chicken pox have cutaneous scarring which
results from exposure of the vesicular lesions
to amniotic fluid.