About erb-duchenne palsy
What is erb-duchenne palsy?
Brachial plexus palsy, also known as Erb's palsy, is a paralysis or weakness of the arm caused by an injury to one or more nerves that control and supply the muscles of the shoulder and upper extremities (upper brachial plexus). It is more commonly seen in newborns (neonates) and is often the result of a difficult delivery. When it occurs in adults, the cause typically is an injury that has caused stretching, tearing or other trauma to the brachial plexus network. The brachial plexus is the network of nerves that conducts signals from the spine to the shoulder, arm, and hand.
There are four types of brachial plexus injury, avulsion, the most severe type, in which the nerve is ripped from the spine, rupture, in which the nerve is torn but not at the point at which it is attached to the spine; neuroma, in which the nerve is torn and has tried to heal but scar tissue has grown around the site; and neuropraxia (stretch), the most common form of injury, in which the nerve has been damaged but not torn.
What are the symptoms for erb-duchenne palsy?
Muscle Weakness in the arm or shoulder known as erb-duchenne palsy can be brought on by an injury received either during birth or later in life. It most frequently affects newborns whose shoulders were damaged after birth. While some cases cure on their own.
Symptoms
1. Elbow, arm, and shoulder are all impacted by Erb's palsy. Your hand muscles are generally unaffected, although your hands could feel tingly or numb.
2. Shoulder, arm, and elbow Paralysis or limpness. You cannot bend your elbow or lift your arm away from your body.
3. Your arm or hand may feel numb or tingly. Additionally called "burners and stingers," these are.
4. A hand gesture referred to as "the waiter's tip." Your hand's fingers curl, and the palm points in that direction.
5. During birth, an infant may acquire Erb's palsy. Your healthcare professional may need to turn your baby's head to one side during delivery in order to spread its shoulders. Stretching or even tearing of the brachial plexus nerves from the neck to the shoulder is possible.
6. A physical examination is typically the first step in the diagnosis. These tests may also be requested by your healthcare professional:
7. EMG (electromyography). This test evaluates the functionality of the muscles and nerves.
Symptoms
Paralysis or limpness of the shoulder, arm and elbow,Numbness or tingling in your arm or hand
Conditions
Arm Weakness and loss of motion
Drugs
NA
What are the causes for erb-duchenne palsy?
Erb-Duchenne palsy is a disorder that is most frequently brought on by injury to the nerves that control the arm during childbirth. Arm numbness, paralysis, and Erb's palsy are its signs and symptoms. Most newborns have a fair prognosis, but some continue to have problems into adulthood despite receiving treatment.
At birth, Erb's palsy results in paralysis, arm weakness, or lack of mobility. For the majority of infants, the illness gets better or goes away entirely, but others develop long-term difficulties
One baby in every 1000 is born with Erb's palsy, according to the American Academy of Orthopedic Surgeons (AAOS). The majority of kids will be able to move and feel their injured part once again.
Causes
1. Erb's palsy in neonates is most frequently brought on by a difficult delivery. If the infant is exceptionally large, is born breech, or labor lasts a long period, the injury is more likely to occur.
2. The damage is brought on by pulling on the shoulders as the baby exits the birth canal head first, applying pressure to the arms while the baby is breech, or the infant's head is being pulled to one side.
3. In certain cases, the harm is unavoidable and unforeseen. The brachial plexus might be damaged by the doctor or midwife pulling too hard or too much in one direction.
4. This is more likely to happen if the delivery takes a long time and is complicated, or if the head has already damaged the surface and the shoulder is only just emerging.
Symptoms
Paralysis or limpness of the shoulder, arm and elbow,Numbness or tingling in your arm or hand
Conditions
Arm weakness and loss of motion
Drugs
NA
What are the treatments for erb-duchenne palsy?
A disorder called erb-duchenne palsy is characterized by arm numbness and loss of motion. Both newborns and adults can get it. Typically, the brachial plexus is hurt physically during childbirth or as a result of force being applied downwardly to the upper arm and shoulder. A network of nerves called the brachial plexus is located close to the neck and gives the shoulder, arm, hand, and fingers movement and sensation.
One baby in every 1000 is born with Erb's palsy, according to the American Academy of Orthopedic Surgeons (AAOS). The majority of kids will be able to move and feel their injured part once again.
Treatment
1. The severity of the injury affects how erb-duchenne palsy is treated in part. Some situations end on their own in three to four months. However, it's likely that your doctor would advise you to start physical therapy and exercises with your infant at around three weeks old.
2. Your baby's arm, hand, and wrist will stay flexible thanks to the Range of motion and stretching activities. Avoid a joint contracture at all costs (permanent joint stiffness). Observe your healthcare provider's directions for how frequently to perform the movements each day.
3. Exercise and water are combined in hydrotherapy. With the help of water, exercising is less unpleasant.
If the palsy doesn't go better before your child turns six months old, your doctor might advise surgery, such as:
1. Nerve mending- These procedures include nerve transplants, transfers, neurolysis, and decompression of the nerves.
2. Muscle regrowth- In order to replace the damaged tissue with tissue from another area of the body, a muscle or tendon transfer is necessary.
3. It's crucial to understand that any form of nerve healing and rebuilding proceeds gradually; effects don't show up right away.
Symptoms
Paralysis or limpness of the shoulder, arm and elbow,Numbness or tingling in your arm or hand
Conditions
Arm weakness and loss of motion
Drugs
NA
What are the risk factors for erb-duchenne palsy?
A disorder called erb-duchenne palsy is characterized by arm numbness and loss of motion. Both newborns and adults can get it. Typically, the brachial plexus is hurt physically during childbirth or as a result of force being applied downwardly to the upper arm and shoulder. A network of nerves called the brachial plexus is located close to the neck and gives the shoulder, arm, hand, and fingers movement and sensation.
One baby in every 1000 is born with Erb's palsy, according to the American Academy of Orthopedic Surgeons (AAOS). The majority of kids will be able to move and feel their injured part once again.
Risk Factors
1. Infants may be at risk for developing Erb's palsy because of the following factors:
2. Breech babies: Babies that are born breech may be more susceptible to Erb's palsy because their arms may be elevated and more vulnerable to damage from excessive pressure.
3. Pregnancy-related diabetes: Babies may be delivered larger if blood sugar levels are not properly controlled, making delivery more challenging.
4. Use of birthing equipment improperly: During a difficult delivery, a baby may be yanked swiftly and violently from the birth canal, injuring the neck and shoulder.
5. Maternal size: If the mother is unusually tiny or the baby is larger than average, the delivery may be more challenging.
6. The second stage of labor that lasts for more than one hour: A prolonged "pushing" stage may increase a baby's risk of developing Erb's palsy and other brachial plexus injuries.
Symptoms
Paralysis or limpness of the shoulder, arm and elbow,Numbness or tingling in your arm or hand
Conditions
Arm weakness and loss of motion
Drugs
NA
Is there a cure/medications for erb-duchenne palsy?
A disorder called erb-duchenne palsy is characterized by arm numbness and loss of motion. Both newborns and adults can get it. Typically, the brachial plexus is hurt physically during childbirth or as a result of force being applied downwardly to the upper arm and shoulder. A network of nerves called the brachial plexus is located close to the neck and gives the shoulder, arm, hand, and fingers movement and sensation.
One baby in every 1000 is born with Erb's palsy, according to the American Academy of Orthopedic Surgeons (AAOS). The majority of kids will be able to move and feel their injured part once again.
Treatment
1. The severity of the injury affects how erb-duchenne palsy is treated in part. Some situations end on their own in three to four months. However, it's likely that your doctor would advise you to start physical therapy and exercises with your infant at around three weeks old.
2. Your baby's arm, hand, and wrist will stay flexible thanks to the Range of motion and stretching activities. Avoid a joint contracture at all costs (permanent joint stiffness). Observe your healthcare provider's directions for how frequently to perform the movements each day.
3. Exercise and water are combined in hydrotherapy. With the help of water, exercising is less unpleasant.
If the palsy doesn't go better before your child turns six months old, your doctor might advise surgery, such as:
1. Nerve mending- These procedures include nerve transplants, transfers, neurolysis, and decompression of the nerves.
2. Muscle regrowth- In order to replace the damaged tissue with tissue from another area of the body, a muscle or tendon transfer is necessary.
3. It's crucial to understand that any form of nerve healing and rebuilding proceeds gradually; effects don't show up right away.
Symptoms
Paralysis or limpness of the shoulder, arm and elbow,Numbness or tingling in your arm or hand
Conditions
Arm weakness and loss of motion
Drugs
NA