Intrauterine shoulder weakness and obstetric brachial plexus palsy

Obstetrical brachial plexus injury occurs when the forces preventing the stretch of the brachial plexus are overcome by the forces stretching it. This report describes an 8-day-old male delivered by uncomplicated cesarean section with right obstetrical brachial plexus palsy and congenital arm atroph...

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Bibliographic Details
Published in:Pediatric neurology 2004-09, Vol.31 (3), p.225-227
Main Authors: Alfonso, Israel, Papazian, Oscar, Shuhaiber, Hans, Yaylali, Ilker, Grossman, John A.I.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Birth Injuries - diagnostic imaging
Brachial Plexus Neuropathies - diagnostic imaging
Female
Fetal Diseases - diagnostic imaging
Humans
Infant, Newborn
Male
Medical sciences
Neurology
Paralysis - diagnostic imaging
Pregnancy
Prenatal Diagnosis - methods
Shoulder Joint - diagnostic imaging
Ultrasonography
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Summary:Obstetrical brachial plexus injury occurs when the forces preventing the stretch of the brachial plexus are overcome by the forces stretching it. This report describes an 8-day-old male delivered by uncomplicated cesarean section with right obstetrical brachial plexus palsy and congenital arm atrophy. The patient had a history of decreased right arm movement detected by fetal ultrasound at 18 to 20 weeks of gestation. The purpose of this article is to report that stretching of brachial plexus at birth sufficient to produce a plexus injury may occur in a patient with a vulnerable plexus even in the absence of traction during delivery.
ISSN:0887-8994
1873-5150
DOI:10.1016/j.pediatrneurol.2004.02.010