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. Refer to local guidelines regarding timing of referral to plastic surgeons.
Complete resolution at 6 months of age: only 65% for Erb’s palsy and <10% for total palsy +/- Horner’s syndrome.
Previously published: 16/10/13, 24/06/14