Brachial Plexus Injury in Babies
A traumatic birth can cause brachial plexus injury in babies and subsequent neck pain and mobility problems.
Brachial Plexus Injury Statistics
Estimates of brachial plexus injury occurring at birth range from around 0.03% to 0.2% with the risks higher if labour was difficult and the baby was delivered forcibly after their shoulders became stuck. Delivery trauma accounts for the majority of cases of brachial plexus palsy discovered following the birth of a baby. Larger babies are at a higher risk of this occurring, which is worrying considering that babies with higher birth-weight are becoming more common.
Injury to the brachial plexus nerves during birth causes Erb's Palsy
Erb’s Palsy and Neck Injury in Children
Erb’s Palsy (brachial plexus injury in babies) may also be a result of abnormal growth through restricted limbs during gestation, trauma prior to, or during delivery, amniotic bands, or congenital chicken pox.
Symptoms of Erb’s Palsy
If an injury occurred prior to the birth then fibrillations are usually detectable within the first week after delivery. In some cases there may be a visible disparity between one shoulder/arm and the other to indicate a developmental abnormality. Paediatricians will usually notice the problem at a routine check-up and conduct a physical examination prior to deciding if further tests are necessary. Parents should watch out for signs in their baby such as an inability to raise their arm, turn their wrist, or squeeze with their hand.
The injury to the nerves in the area may be overcome using physical therapy and occupational therapy where it occurs in adults, but children may require neck surgery to correct the problem and continue to have difficulties with their brachial plexus. Getting a prompt diagnosis and commencing treatment quickly will offer the best chance for a full recovery from brachial plexus palsy in your child.
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