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ERBS PALSY INFORMATION

Erbs Palsy Information - This condition can cause severe disability and is an injury to the brachial plexus which is a network of nerves that runs from the spine, across the chest to the fingers. There are four different types of injury that may occur:

  • avulsion - the nerve is torn from the spine
  • rupture - the nerve is torn but not where it attaches to the spine
  • neuroma - occurs where scar tissue puts pressure on the nerve reducing transmission of impulses to the muscles
  • praxis - usually has minor consequences where the nerve has been damaged but not torn

Damage to the brachial plexus nerves usually occurs as a result of the use of excessive physical force during birth. Failure to recognize the risk factors of a potentially difficult birth may be medical negligence. Existence of the risk factors may dictate that a caesarian section is necessary to preclude the possibility of a dangerous traumatic natural birth. Risk factors for Erbs palsy include:

  • failure to diagnose and treat maternal diabetes
  • failure to properly manage shoulder dystocia
  • failure to estimate the baby's weight before delivery
  • applying excessive traction during the delivery

Erbs palsy may be associated with other problems which also result from damage to the brachial plexus nerves :

  • Klumpke's Palsy - Usually includes a limp hand and immobile fingers often associated with Horners syndrome.
  • Complete Brachial Plexus Palsy - Occurs when the entire arm is paralysed.
  • Horner's Syndrome – Caused by damage to the sympathetic nervous system.
  • Torticollis caused as a result of nerve damage.

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