Diagnosis for upper brachial plexus palsy, erb-duchenne
To establish the diagnosis, a complete history and physical examination are conducted, with an emphasis on the neurologic examination.
1. History: Collects data on pregnancy complications brought on by gestational diabetes or maternal obesity, fetal macrosomia, delayed second-stage labor, shoulder dystocia, and the need for forceps during delivery.
2. Inspection of the body
3. Shows the afflicted arm moving less frequently or not at all.
4. Neurological testing
5. Assessing muscle strength, feeling, and reflexes reveals that the damaged arm has no moor reflex
Treatment available for upper brachial plexus palsy, erb-Duchenne
1. Some upper brachial plexus palsy, erb-Duchenne injuries could recover on their own.
2. Even though it could take up to two years for a child to heal from birth injuries, many of them do so by the time they are 3 to 4 months old.
3. Fortunately, 80% to 90% of kids who suffer from such wounds will recover their normal or nearly normal function.
4. Brachial plexus injuries can be treated with physical therapy and, in certain circumstances, surgery is needed.
When surgery is required?
After conducting the necessary evaluation, the medical team may decide to pursue surgical intervention as a therapy option. Only when conservative treatment, such as physiotherapy, is deemed ineffective is surgery considered. This could happen right after delivery because the BPBP injury is so severe that surgery is required, or it could happen later in the child's development. Nerve transplants and muscular tendon transfers may be used in BPBP surgery. Many kids make a full recovery, but for those unfortunate ones who don't, it's crucial to concentrate on teaching a kid to adjust to tasks and work on various techniques to complete chores in daily life.
Shoulder, arm, and elbow weakness or limpness,You cannot bend your elbow or lift your arm away from your body,Tingling sensation in arms, and hands
Diabetes,Underweight or obesity