UMEM Educational Pearls

Category: Pediatrics

Title: Newborn Erb Paralysis

Posted: 11/11/2011 by Rose Chasm, MD (Updated: 6/13/2024)
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  • ocurs with significant lateral traction during vaginal delivery of an infant
  • results in damage to the upper part of the brachial plexus, especially the 5th and 6th cervical roots
  • results in paralysis of hte shoulder and arm
  • the affected arm is held in adduction and internal rotation
  • most resolve spontaneoulsy, but some may require physical therapy after 2 weeks
  • surgery is rarely required, and has poor results
  • always palpate for ipsilateral clavicel fractures!

References

MedStudy Pediatrics Board Review

Core Curriculum