Erb's Palsy
The brachial plexus is a network of nerves that conducts signals from the spine to the shoulder, arm, and hand. Brachial plexus injuries (sometimes referred to as Erb's Palsy) are caused by damage to those nerves. Symptoms may include a limp or paralyzed arm, lack of muscle control in the arm, hand, or wrist, and lack of feeling or sensation in the arm or hand. Although injuries can occur at any time, many brachial plexus injuries happen during birth: the baby's shoulders may become impacted during the birth process causing the brachial plexus nerves to stretch or tear. There are four types of brachial plexus injuries: avulsion, the most severe type, in which the nerve is torn from the spine; rupture, in which the nerve is torn but not at the spinal attachment; neuroma, in which the nerve has tried to heal itself but scar tissue has grown around the injury, putting pressure on the injured nerve and preventing the nerve from conducting signals to the muscles; and neuropraxia or stretch, in which the nerve has been damaged but not torn. Neuropraxia is the most common type of brachial plexus injury.
Some brachial plexus injuries may heal on their own. Many children improve or recover by 3 to 4 months of age. Treatment for brachial plexus injuries includes occupational or physical therapy and, in some cases, surgery.
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About this information: These definitions were provided by the Centers for Disease Control, the National Institutes for Health and other government health agencies. This information is for educational purposes only. If you are concerned about your health or your child's health, please consult your family's health care provider immediately. This information is not a substitute for personal medical attention, diagnosis or treatment.
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