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 - scar tissue puts pressure on the nerve reducing transmission of impulses
- praxis - minor consequences where the nerve has been damaged but not torn
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Clinical Negligence
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
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Associated Conditions
Erbs palsy may be associated with other problems which also result from damage to the brachial plexus nerves :
- Klumpke's Palsy - limp hand and 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 - twisted neck caused as a result of nerve damage.