81. ASSH | Brachial Plexus Injury Erb’s palsy (brachial plexus Injury). If your newborn can move one armbut not the other, he or she may have a condition called Erb’s palsy. http://www.assh.org/Content/NavigationMenu/Patients_and_Public/Hand_Problems_and

About the ASSH Find a Hand Surgeon Hand Problems and Diseases Amputation and Prosthetics ... Why Visit a Hand Surgeon How it happens The nerves to the arm, hand and fingers exit the spinal cord between the bones (vertebrae) of the neck and travel into the arm below the collarbone (clavicle). The nerves to the arm exit high in the neck; those that go to the hand and fingers exit lower in the neck, just above the chest. These nerves branch and join together near where the neck joins the shoulder, in an area called the brachial plexus. There are four types of nerve injuries to the brachial plexus. Avulsion injuries. The nerve is torn from its attachment to the spinal cord. This is the most serious type of injury. Rupture injuries. The nerve is torn, but not at the spinal cord. Neuroma injuries. These injuries result from scar tissue that forms and puts pressure on the nerve. Stretch injuries. These injuries, known as neurapraxia (new-rah-PRAK-see-ah) are the most common. The nerve is damaged but not torn. Normally, these injuries heal on their own, usually within three months. Treatment If there is no change over the first three months, nerve surgery may be helpful. However, nerve surgery will not restore normal function or help infants over one year old. After surgery, the infant will wear a splint for approximately three weeks. Because nerves grow at a rate of one inch per month, it may take several months, or even years, for nerves repaired at the neck to reach the muscles of the lower arm and hand.

82. EMedicine - Neonatal Brachial Plexus Palsies : Article Excerpt By: Jennifer Seme Neonatal brachial plexus Palsies The first known description of neonatal brachialplexus palsy (BPP) dates from 1779 when Smellie reported the case of an http://www.emedicine.com/pmr/byname/neonatal-brachial-plexus-palsies.htm

(advertisement) Excerpt from Neonatal Brachial Plexus Palsies Synonyms, Key Words, and Related Terms: brachial plexus injury, obstetric brachial plexus palsy, obstetrical brachial plexus palsy, brachial plexus palsy, brachial plexus birth palsy, birth brachial plexus palsy, traumatic peripheral nervous system injury, congenital brachial plexus palsy, Erb’s palsy, Klumpke's palsy, brachial plexopathy, Duchenne-Erb's palsy Please click here to view the full topic text: Neonatal Brachial Plexus Palsies Background: The first known description of neonatal brachial plexus palsy (BPP) dates from 1779 when Smellie reported the case of an infant with bilateral arm weakness that resolved spontaneously within a few days after birth. In the 1870s, both Duchenne and Erb described cases of upper trunk nerve injury, attributing the findings to traction on the upper trunk, now called Duchenne-Erb palsy. In 1885, Klumpke described injury of C8-T1 nerve roots and the nearby stellate ganglion that now bears her name. Many cases of BPP are transient, with the child recovering full function in the first week of life. A smaller percentage of children continue to have weakness leading to long-term disability from the injury. The mainstay of treatment for these children is physical and/or occupational therapy in concert with a regular home exercise program. A select few patients may benefit from surgical intervention in the early stages to improve innervation of the affected muscles. Others benefit from tendon transfers performed later to improve shoulder and, sometimes, elbow function. Numerous other nonsurgical treatments, including electrical stimulation and botulinum toxin injections, also may prove effective in the treatment of children with BPP. In view of the variability in presentation, treatment options, and outcome measures, a multidisciplinary approach to the care of the infant with BPP is recommended.

83. Brachial Plexus Injury From Birth Trauma Humerus shortened; Contractures and disuse atrophy. Resources The NationalBrachial plexus, Erb s palsy Association http//www.nbpepa.org. http://www.fpnotebook.com/NIC65.htm

Home About Links Index ... Editor's Choice document.write(code); Advertisement Neonatology Neurology Birth ... Subgaleal Hematoma Assorted Pages Dysraphism Cranial Dysraphism Spinal Dysraphism Myelomeningocele ... Newborn Reflexes Brachial Plexus Injury from Birth Trauma Brachial Birth Trauma Brachial Birth Palsy Book Home Page Cardiovascular Medicine Dentistry Dermatology Emergency Medicine Endocrinology Gastroenterology General Medicine Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Neonatology Index Birth Dermatology Otolaryngology Examination Ophthalmology Fluids, Electrolytes, and Nutrition Gastroenterology Hematology and Oncology Infectious Disease Laboratory General Pulmonology Neurology Orthopedics Pharmacology Premature Surgery Page Neurology Index Birth Caput Succedaneum Birth Caput Vacuum Birth Cephalhematoma Birth Skull Fracture Birth Skull Fracture Leptomeningeal Cyst Birth Subgaleal Dysraphism Dysraphism Cranial Dysraphism Spinal Dysraphism Spinal Myelomeningocele Dysraphism Spinal Spina Bifida Occulta Floppy Infant Palsy Brachial Palsy Brachial Duchenne-Erb Paralysis Palsy Brachial Klumpke Palsy Facial Palsy Laryngeal Palsy Phrenic Skull Craniosynostosis Skull Positional Epidemiology Injuries may occur intrapartum prior to delivery: 50% Unrelated to shoulder dystochia or excessive traction

84. Orthopaedic Surgery - Erb's Palsy (Brachial Plexus Injury) Home Services Conditions Interactive Condition Guide Arm Elbow Conditions Erb s palsy (brachial plexus Injury). Erb s palsy (brachial plexus Injury). http://orthopaedics.hss.edu/services/conditions/arm_elbow/erbs_palsy.asp

Choose One HSS.edu Anesthesiology Radiology Rheumatology Rehabilitation Sign up for Patient or Physician E-newsletter June 2, 2004 Advanced Search Home Interactive Condition Guide > Erb's Palsy (Brachial Plexus Injury) ARM AND ELBOW Arthritis of the Elbow Biceps tendinitis Broken arm Colles fracture Dislocated Elbow Elbow Bursitis Elbow Fractures in Children Electrodiagnostic Testing Erb’s Palsy (Brachial Plexus Injury) Fact Sheet: Arthritis of the Elbow Forearm Fractures in Children Glossary of Orthopaedic Diagnostic Tests Health-related quality of life How to Use Crutches, Canes and Walkers Infections Lyme Disease Myositis Olecranon (Elbow) Fractures Orthopaedic Fast Facts Radial Head Fractures Rupture of the biceps tendon Tennis Elbow Tennis Elbow - An Overview Throwing injuries in the elbow Ulnar nerve entrapment Erb's Palsy (Brachial Plexus Injury) If your newborn can move one arm but not the other, he or she may have a condition called Erb's palsy. The inability to move the arm is a symptom of an injury to the brachial plexus (BRAY-key-el PLEK-sis), a network of nerves that provides movement and sensation to the arm, hand and fingers. One or two of every 1,000 babies have this condition. Most infants with Erb's palsy will recover both movement and sensation in the affected arm without surgery. But parents must be watchful and active participants in the treatment process to ensure maximum functional recovery. How it happens The nerves to the arm, hand and fingers exit the spinal cord between the bones (vertebrae) of the neck and travel into the arm below the collarbone (clavicle). The nerves to the arm exit high in the neck; those that go to the hand and fingers exit lower in the neck, just above the chest. These nerves branch and join together near where the neck joins the shoulder, in an area called the brachial plexus.

85. Tanya's Brachial Plexus Page My daughter was born June 29th 1995 She received an injury at birth called BrachialPlexus palsy (BPP) This page was started to help others dealing with this http://members.tripod.com/~ttandd/

var cm_role = "live" var cm_host = "tripod.lycos.com" var cm_taxid = "/memberembedded" Check out the NEW Hotbot Tell me when this page is updated Thanks for visiting.. I hope I can somehow help you in finding info on BPI. Have a look around and then let me know what you think by signing the guestbook or the message board. My daughter was born June 29th 1995 She received an injury at birth called Brachial Plexus Palsy (BPP) This page was started to help others dealing with this injury to not feel so alone. Tanya Each soul is a master... in each moment called now. We each create our lives and our world around us. Judge not the karmic path walked by another. Each circumstance is a gift. In each experience is hidden a treasure. I have started a mailing list, support, getting to know each other group so if you would be interested in joining please fill out your email address below or email me at illusions_of_lite@hotmail.com Be prepared though.. we can be quite the talkative group.. so you will get alot of email. Subscribe to brachial Powered by www.ONElist.com

86. Erb's Palsy And Brachial Plexus Injuries - Cerebral Palsy Glossary Defines and describes Erb s palsy and brachial Plexusinjuries, and provides information and resources. http://www.about-cerebral-palsy.org/definition/erbs-palsy-brachial-plexus.html

HOME Cerebral Palsy Resources Ask the Doctor Cerebral Palsy A-Z Types of Cerebral Palsy Cerebral Palsy Statistics ... More Resources Erb's Palsy Erb's palsy is a kind of paralysis caused by traumatic injury to the upper brachial plexus. It occurs most commonly in childbirth from forcible traction during delivery, with injury to one or more cervical nerve roots. The signs of Erb's palsy include loss of sensation in the arm and paralysis and atrophy of the deltoid, the biceps, and the brachialis muscles. The arm on the affected side hangs loosely with the elbow extended and the forearm pronated. Web Resources for Erb's Palsy: National Organization for Rare Disorders - NORD NINDS Brachial Plexus Injuries Information Page Erb's Palsy - Google Search Cerebral Palsy - Ask the Doctor is sponsored by Lawyers Inc., P.C. (1-800-888-LAWS) - Sheldon O. Zisook, Attorney.

87. Brachial Lecture The next category is Total plexus palsy, which involves all rootsof the brachial plexus. The entire upper extremity is affected. http://www.pediatric-orthopedics.com/Treatments/Brachial_Plexus/BrachialLink/Bra

Class is in Session: Take your seats, please. BRACHIAL PLEXUS BIRTH INJURY Please review your anatomy . In brief, nerves exit the spinal cord in the lower neck and travel to an area underneath the collar bone, where they coalesce to form the brachial plexus - almost like a fuse box. It is here that these nerve roots intermingle to emerge as the major nerves which innervate the shoulder, arm, and hand. Those nerve roots are the fifth, sixth, seventh, eighth cervical nerve roots (cervical = in the neck) and the first thoracic nerve. Occasionally the fourth cervical or the second thoracic root is included. During birth, the baby may become stuck when the head or the shoulder is unable to clear the mother's pelvic outlet. In trying to get the baby delivered before any serious breathing or circulation problem occurs, traction on the head or shoulder may stretch nerve roots.

88. Viewpoint -- Treating Children With Brachial Plexus Birth Palsy VIEWPOINT. Treating children with brachial plexus birth palsy. A limparm after birth may represent a brachial plexus birth palsy. http://www.shrinershq.org/whatsnewarch/archives03/viewpoint4-03.html

Home Shrine Shriners Hospitals Hospital Directory ... Next VIEWPOINT Treating children with brachial plexus birth palsy By Scott H. Kozin, M.D. Philadelphia Shriners Hospital A limp arm after birth may represent a brachial plexus birth palsy. The child may not be able to move his or her shoulder, elbow, arm or hand. Injury to the brachial plexus disrupts the nerve signals that send and receive information to and from the upper limb. The nerves originate from the spinal cord within the neck and travel behind the clavicle into the arm. These nerves control motion and sensation about the shoulder, elbow, wrist and hand. Linda Filipone, R.N., of the Philadelphia Shriners Hospital explains to Peyton the importance of wearing his splint during the patient's four-month post-operative examination. A brachial plexus birth palsy refers to an injury to these nerves that occurs during the birth process and results in weakness or loss of sensation in the affected limb. As the baby passes through the birth canal, stretching or tearing of the nerves can occur between the neck and shoulder. Initially, the baby may not be able to move the shoulder, elbow, wrist and/or hand. The limb often postures in an inward position, with the elbow straight and the wrist bent. Risk factors involved Risk factors for brachial plexus birth palsy include gestational diabetes, large babies and shoulder dystocia. Shoulder dystocia refers to a process where the shoulder gets entrapped behind the pelvis during the birth process. Brachial plexus birth palsies occur with an incidence of 0.4 to 2.5 palsies per 1,000 live births.

89. Brachial Plexus / Erb's Palsy Lawsuit Overview - Find Trial Lawyers And Attorney brachial plexus / Erb s palsy Overview brachial plexus / Erb s palsy - Find TrialLawyers and Attorneys with Experience in brachial plexus / Erb s palsy http://www.injuryboard.com/view.cfm/Topic=1180

June 2, 2004 An estimated 300,000 workplace injuries occur each year in the United States. Vioxx / Rofecoxib Tractor-Trailer Accidents Serzone / Nefazodone Hydrochloride Tort Reform ... Birth Injuries Brachial Plexus / Erb's Palsy If you or a family member has been injured, contact a personal injury attorney today. Just fill out InjuryBoard.com's on-line questionnaire and have a personal injury lawyer review your potential personal injury claim - free of charge. Ask an Attorney During a difficult delivery, a network of nerves known as the brachial plexus may suffer permanent damage. The brachial plexus, located in the neck, conducts signals from the spine to the shoulder, arm, and hand. When a baby's shoulders are pulled with unnecessary force or become impacted during delivery, damage to the brachial plexus may result. Erb-Duchenne (Erbs) palsy refers to paralysis of the upper brachial plexus. Dejerine-Klumpke (Klumpkes) palsy refers to paralysis of the lower brachial plexus. Symptoms of Erb's and Klumpke's Palsy include, but may not be limited to, paralysis, atrophy and limpness of the arm, hand or wrist. Loss of sensation may also result. Over time, the damaged arm may grow smaller than the other.

90. Contents Medicina 2004; 40 (4) 358362. Treatment of early and late obstetric brachialplexus palsy. Key words obstetric palsy, brachial plexus, children. Summary. http://medicina.kmu.lt/0404/0404-10e.htm

Medicina 2004; 40 (4) 358-362 Treatment of early and late obstetric brachial plexus palsy , Romas Jonas Kalesinskas Clinic of Pediatric Surgery, Clinic of Orthopedics and Traumatology, Clinic of Neonatology, Kaunas University of Medicine Hospital, Lithuania Key words: obstetric palsy, brachial plexus, children. Summary. Received 8 March 2004, accepted 31 March 2004

91. Brachial Plexus Birth Palsy Management: Currents: UI Health Care Currents Fall 2001, Volume 2, Number 4. brachial plexus Birth palsy Management.Zlatko Anguelov (in collaboration with R. Kumar Kadiyala, MD, Ph.D.) http://www.uihealthcare.com/news/currents/vol2issue4/2brachplexus.html

This issue home CURRENTS Home Publishers Back Issues - UI Health Care's digital library Read this month's health-e-newsletter Send comments and questions to staff@uihealthcare.com University of Iowa Currents: Fall 2001, Volume 2, Number 4 Brachial Plexus Birth Palsy Management Zlatko Anguelov (in collaboration with R. Kumar Kadiyala, M.D., Ph.D.) History: Brachial plexus birth palsy presents as paralyses of the infant's arm resulting from obstetric injuries to the brachial plexus. Risk factors for birth injury include large size for gestational age, multiparous pregnancy, prolonged labor, or difficult delivery. Shoulder dystocia and difficult arm or head extraction increase the risk of brachial plexus stretching that usually causes neural injury. EMG studies have indicated an in utero cause in some cases. Figure 1. Brachial plexus (schematized) The location and range of neural lesions determine the type of arm muscles' dysfunction. In the majority of cases, the upper trunk (C5 and C6) is injured causing the so-called Erb's palsy. Less often, the entire plexus (C5 to T1) can be involved, while in a rare condition known as Klumpke's palsy only the lower trunk (C8 and T1) bears the lesions. Upper trunk injuries are generally postganglionic and have a better prognosis with regard to full recovery than the preganglionic lesions typical for the lower trunk.

92. Brachial Plexus Neuropathies American Society for Surgery of the Hand Erb s palsy (BrachialPlexus Injury). This patient information leaflet on Erb s palsy http://omni.ac.uk/browse/mesh/C0700251L0377395.html

low graphics Brachial Plexus Neuropathies broader: Peripheral Nervous System Diseases other: Brachial Plexus Complex Regional Pain Syndromes Diabetic Neuropathies Guillain-Barre Syndrome ... United Brachial Plexus Network The United Brachial Plexus Network (UBPN) is a non-profit organisation devoted to "providing information, support and leadership for families and those concerned with brachial plexus injuries worldwide". Patient-oriented information about brachial plexus injuries (also known as Erb's Palsy) is provided from the Texas Children's Hospital. Other resources include: links to support groups, an online directory of contact details for people in the US and elsewhere affected by brachial plexus, exercise information, and resources for health care professionals. Organizations, Nonprofit Brachial Plexus Neuropathies Brachial Plexus NINDS : brachial plexus birth injuries information page This Web resource on brachial plexus birth injuries (also known as Dejerine-Klumpke Palsy) is produced by the National Institute of Neurological Disorders and Stroke (NINDS). A description of the types of brachial plexus birth injuries is provided, and available treatments, prognosis, and current research activities are all discussed. Links to related organisations are provided. This resource has a US focus. Patient Education Handout [Publication Type] Brachial Plexus Neuropathies Birth Injuries American Society for Surgery of the Hand : Erb's Palsy (Brachial Plexus Injury) This patient information leaflet on Erb's Palsy (Brachial Plexus Injury) is produced by the American Society for Surgery of the Hand (ASSH). It describes why Brachial plexus injuries occur in newborns, the four types of nerve injuries to the brachial plexus, and available treatments (both surgical and non-surgical).

93. Schipul: Schipul: Medical: Neurosurgery: Dr. Nath - Brachial Plexus Surgery: Www Medical Web Site brachial plexus Surgery and Erbs palsy. description DoctorNath is a brachial plexus and Erb s palsy treatment specialist. http://www.schipul.com/en/catalogs/items/view.asp?catalogid=13

94. BrachialPlexus brachial plexus/Erb s palsy National BPI Forum. http://www.rowan.edu/mars/depts/math/lacke/brachial.htm

Brachial Plexus Injury Upon birth, my older daughter Bailey suffered a brachial plexus injury, a nerve injury which left her left arm useless. We were very fortunate to find out from a member of our former church in North Carolina that one of the premier occupational therapists in this field had relocated to NC just six months prior to Bailey's birth. After two major operations at Texas Children's Hospital in Houston and almost three years of daily rehabilitation, Bailey has approximately 70% usage of her left arm, which has been remarkable, given the extent of her birth injury. During this period, we have met or heard about many people who have children with the same type of injury. Many of the children (approximately 80%) recover within three days of birth, as the nerve tissue was only slightly stretched. However, for the kids that require surgery, the injury level can range from scar tissue restricting one or more nerve to avulsion (nerves torn from the spinal cord). One thing that we have learned is that many doctors know very little about treatment regarding this type of injury. While our pediatricians weren't fully schooled in this type of injury, they took great interest in our daughter's injury, learning along with us (you can't ask more from a pediatrician). We know of many children who pass by the optimal window for surgical treatment due to having a doctor who is ill-informed about brachial plexus injuries, or who just suggests a very long wait to see what happens.

95. Brachial Plexus Program Neuroscience - Miami Children's Hospital Expertise. brachial plexus (Erb s palsy) and other peripheral nerve injuries;Congenital hand and upper limb deformities and deficiencies; http://www.mch.com/clinical/neuroscience/brachial.htm

Our Philosophy Approximately one in every 700 infants is born with a congenital upper extremity abnormality. In addition, birth injury, cerebral palsy and trauma cause upper limb problems in countless other children. Miami Children's Hospital, through its multidisciplinary Pediatric Upper Extremity Program, provides comprehensive care and rehabilitation for infants, children and young adults with congenital and acquired disorders of the upper limb. Because no single surgeon can provide all of the necessary expertise to manage many complex problems, a team of surgical and rehabilitation specialists tailors an individualized treatment program for each child. State-of-the-art diagnostic and rehabilitation services are provided by a variety of highly skilled experts at Miami Children's Hospital. This collaborative effort makes the Miami Children's Hospital Pediatric Upper Extremity Program unique. Furthermore, each patient's care is overseen by the surgical director and a clinical coordinator, who work closely with the family to help them understand and select the best treatment options for their child. A large number of medical specialists have been integrated into the program to ensure that the total needs of each child are met.

96. Neonatology On The Web: Brachial Plexus Injuries In The Newborn Michelow BJ, et al. The natural history of obstetrical brachial plexuspalsy. Plastic and Reconstructive Surgery 93(4)675681, April 1993. http://www.neonatology.org/syllabus/bpp.html

Neo Home New Clinical Computers ... Links Brachial Plexus Injuries in the Newborn Prepared by Pamela Mouser, MS-4, UCLA School of Medicine for CSMC NICU Teaching Rounds, 1/14/97 Brachial plexus injuries include weakness or total paralysis of muscles innervated by the brachial plexus C-5 to C-8 and T1. Erb's Palsy refers to involvement of C5 and C6 +/- C7 resulting in proximal muscle weakness. Klumpke's Palsy refers to involvement of C8 and T1 resulting in weakness in the intrinsic muscles of the hand. Isolated Klumpke's Palsy rarely occurs in the newborn period (0.6% of cases in one study). Total plexus palsy involves both the lower and upper roots. Incidence 0.5 to 2.0 per 1000 live births [1], 0.37-0.87 per 1000 live births [2]. 10 to 20 times more common than spinal cord injuries. 90% [1] or 58-72% [2] of cases are Erb's Palsy. In 10% the entire brachial plexus is involved [2]. Ipsilateral diaphragm is involved in 5% of cases of Erb's Palsy. Horner's Syndrome via T1 sympathetic injury occurs in 1/3 of total plexus palsies. Bilateral injury in 8-23% [2].

97. Children's Hospital Boston - Brachial Plexus Program to infants and children with acute and chronic brachial plexus palsies.Related Child Health A to Z Topics http://web1.tch.harvard.edu/cfapps/CHprogDisplay.cfm?Dept=Orthopaedic Surgery&Pr

98. MedWebPlus Web Site ID 10593 http://medwebplus.com/obj/10593

Main About MWP Contribute to MWP Contact Us A service of Flexis, Inc. Welcome to MedWebPlus 2.3! A free service to help you find health sciences information quickly and easily. Brachial Plexus Palsy Foundation http://membrane.com/bpp/ Location: North America United States Pennsylvania Royersford Subjects: All Diseases Diseases and Conditions Institutions Neuromuscular Diseases ... Privacy statement Powered by y-Base

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