Erb Palsy (Erb-Duchenne Palsy) refers to a paralysis of the arm that is caused by the injury of the brachial plexus. Specifically, this condition is caused by the the severing of the upper trunk which contains the C5/C6 nerves.
WHAT CAUSES IT?
Often times traumatic injuries are responsible for this condition. Shoulder dystocia during a difficult birth is a common cause.
WHAT MAKES US SUSPECT IT?
Difficult delivery (i.e. shoulder dystocia)
- Adducted and internally rotated arm
- Arm that is tonically adducted and internally rotated
- Intact grasp reflex
HOW DO WE TREAT IT?
Initial Treatment Involves Reassurance And Waiting: typically this condition will self resolve on its own by 3-6 months of age.
Neuroplasty If Conditoin Persists: this treatment is performed if this condition persists beyond 3-6 months of age.
Page Updated: 11.30.2016