Tip 14: brachial plexus injury

All babies with suspected brachial plexus injury should be examined for posture, movements, reflexes, chest movements, Horner’s syndrome, and fractures of clavicle / humerus.

Any abnormalities should prompt a CXR, urgent referral to physiotherapy and neonatal follow-up within 2 weeks. 

Complete resolution at 6 months of age: only 65% for Erb’s palsy and <10% for total palsy +/- Horner’s syndrome.

Reference: Foad SL. Prognosis following neonatal brachial plexus palsy: An evidence-based review. J Child Orthop, 2009; 3: 459–463.

First published: 16/10/13

Advertisements
This entry was posted in Neurology. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s