{"id":55661,"date":"2024-03-24T12:53:31","date_gmt":"2024-03-24T09:53:31","guid":{"rendered":"https:\/\/karbalahospital.org\/blogs\/brachial-plexus-injuries-in-newborns-erbs-palsy\/"},"modified":"2024-03-24T12:53:31","modified_gmt":"2024-03-24T09:53:31","slug":"brachial-plexus-injuries-in-newborns-erbs-palsy","status":"publish","type":"blogs","link":"https:\/\/karbalahospital.org\/en\/blogs\/brachial-plexus-injuries-in-newborns-erbs-palsy\/","title":{"rendered":"Brachial Plexus Injuries in Newborns (Erb&#8217;s Palsy)"},"content":{"rendered":"\n<p><strong>The brachial plexus<\/strong> is a network of nerves that sends sensory and motor signals from the spinal cord to the muscles of the shoulders, arms, and hands.<\/p>\n\n\n\n<p>The primary cause of this condition is the stretching of the baby&#8217;s shoulder or pulling the baby&#8217;s head and neck towards the side during childbirth. The force of uterine contractions and maternal pushing are considered to be sufficient to induce tension on the brachial plexus. The incidence rate of these injuries is approximately 3% of natural births, with an 84% recovery rate, leaving 0.5% of brachial plexus injuries.<\/p>\n\n\n\n<p><strong>Risk factors include:<\/strong><\/p>\n\n\n\n<p>The likelihood of injury increases in the following cases:<\/p>\n\n\n\n<p>\u2022 Breech birth <\/p>\n\n\n\n<p>\u2022 Higher-than-average birth weight<\/p>\n\n\n\n<p>\u2022 Twin births<\/p>\n\n\n\n<p> \u2022 Prolonged or difficult labor<\/p>\n\n\n\n<p> \u2022 Assisted delivery using forveps<\/p>\n\n\n\n<p>\u2022 Family history of brachial plexus injuries<\/p>\n\n\n\n<p> \u2022 Maternal obesity<\/p>\n\n\n\n<p><strong>Clinical symptoms of Erb&#8217;s Palsy include: <\/strong><\/p>\n\n\n\n<p>\u2022 Partial or complete loss of movement in the shoulder and upper arm<\/p>\n\n\n\n<p>\u2022 Weakness in grip strength<\/p>\n\n\n\n<p>\u2022 Arm held in a bent position, towards the body<\/p>\n\n\n\n<p>\u2022 Newborns typically do not exhibit signs of severe pain<\/p>\n\n\n\n<p><strong>Diagnosis:<\/strong><\/p>\n\n\n\n<p>\u2022 A thorough clinical examination by pediatric specialists, who may observe limited or abnormal movement in the affected limb.<\/p>\n\n\n\n<p>Imaging tests such as X-rays, CT scans, MRI scans, or nerve conduction studies may also be performed to evaluate muscle and nerve function.<\/p>\n\n\n\n<p><strong>Treatment:<\/strong><\/p>\n\n\n\n<p>\u2022 Most mild cases resolve without treatment within 4-6 weeks.<\/p>\n\n\n\n<p>\u2022 Doctors may recommend some simple exercises for the infant&#8217;s upper limb to improve its range of motion.<\/p>\n\n\n\n<p>\u2022 If symptoms persist beyond 6 weeks, consultation with a neurologist or pediatric orthopedic surgeon is advised.<\/p>\n\n\n\n<p>Physical therapy is sufficient for most newborns affected by this injury.<\/p>\n\n\n\n<p>\u2022 Children with severe injuries may require surgical procedures such as nerve transfers, nerve grafting, tendon transfers, or muscle transfers, depending on the severity of the injury.<\/p>\n\n\n\n<p>Parents play a crucial role in the treatment by adhering to the physical therapy program, engaging in exercises with the child, and monitoring changes in their grip and arm function.<\/p>\n\n\n\n<p>Wishing you all good health and well-being.<\/p>\n\n\n\n<p class=\"has-text-align-center\"><strong>Dr. Mahdi Abd Al-Sahib<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center\"><strong>Orthopedic surgeon<\/strong><\/p>\n","protected":false},"featured_media":51303,"template":"","class_list":["post-55661","blogs","type-blogs","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Brachial Plexus Injuries in Newborns (Erb&#039;s Palsy) - \u0645\u0633\u062a\u0634\u0641\u0649 \u0627\u0644\u0627\u0645\u0627\u0645 \u0627\u0644\u062d\u062c\u0629 \u0639\u062c \u0627\u0644\u062e\u064a\u0631\u064a<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/karbalahospital.org\/blogs\/brachial-plexus-injuries-in-newborns-erbs-palsy\/\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:locale\" content=\"en_US\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:type\" content=\"article\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:title\" content=\"Brachial Plexus Injuries in Newborns (Erb&#039;s Palsy) - \u0645\u0633\u062a\u0634\u0641\u0649 \u0627\u0644\u0627\u0645\u0627\u0645 \u0627\u0644\u062d\u062c\u0629 \u0639\u062c \u0627\u0644\u062e\u064a\u0631\u064a\" class=\"yoast-seo-meta-tag\" \/>\n<meta property=\"og:description\" content=\"The brachial plexus is a network of nerves that sends sensory and motor signals from the spinal cord to the muscles of the shoulders, arms, and hands. The primary cause of this condition is the stretching of the baby&#8217;s shoulder or pulling the baby&#8217;s head and neck towards the side during childbirth. 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