Brachial plexus palsy in newborn infants

Experience in the diagnosis, treatment, and evaluation of residua of brachial plexus paralysis in 25 infants is presented. Associated defects substantiate the traumatic nature of the deliveries. The electromyogram proved a valuable tool in the exact delineation of the pathology and in determination...

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Bibliographic Details
Published in:Pediatrics (Evanston) 1971-07, Vol.48 (1), p.18-28
Main Author: Eng, G D
Format: Article
Language:English
Subjects:
Agnosia - etiology
Birth Injuries - complications
Bone Diseases, Developmental - etiology
Brachial Plexus
Contracture - etiology
Electric Stimulation
Electric Stimulation Therapy
Electromyography
Exercise Therapy
Facial Paralysis
Female
Follow-Up Studies
Humans
Infant
Infant, Newborn
Infant, Newborn, Diseases - complications
Infant, Newborn, Diseases - diagnosis
Infant, Newborn, Diseases - therapy
Male
Muscular Atrophy - etiology
Muscular Diseases - etiology
Paralysis - complications
Paralysis - diagnosis
Paralysis - therapy
Posture
Pregnancy
Shoulder Dislocation - etiology
Splints
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Summary:Experience in the diagnosis, treatment, and evaluation of residua of brachial plexus paralysis in 25 infants is presented. Associated defects substantiate the traumatic nature of the deliveries. The electromyogram proved a valuable tool in the exact delineation of the pathology and in determination of prognosis. Early optimum treatment prevented atrophy and contractures. Of the 20 babies with adequate follow-up, approximately ⅓ recovered by 6 months with minimal deficit, over ½ recovered by 1 year with moderate residua to include persistent weakness, delay in bone growth, dislocation, and peculiar posturing of the arm; and the other three infants showed significant handicaps.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.48.1.18