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(Erb-Duchenne Paralysis; Brachial Plexus Palsy)
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- Long, difficult delivery
- Delivery of a large baby
- Shoulder dystocia
- Breech delivery
- History of delivering larger babies
- History of prolonged labor
- Gestational diabetes
- Inability of your baby to move an arm or shoulder
- Arm is bent inward toward the body
- Weak or absent reflexes in the arm
- Loss of feeling in the arm
- Physical therapy—This can help keep your baby’s joints and muscles flexible and strong. You will take an active role in moving your baby’s shoulder, arm, and hand. Massage may also be an option.
- Surgery—This may be recommended in cases where there is no improvement.
- Muscle and tendon transfer surgery to improve function
- Joint fusion surgery
- Have regular prenatal care visits.
- Tell your doctor if you have had previous difficult deliveries.
- Follow your doctor's instructions if you are diagnosed with gestational diabetes.
American Academy of Orthopedic Surgeons http://orthoinfo.aaos.org
American Academy of Family Physicians http://familydoctor.org
Canadian Orthopaedic Association http://www.coa-aco.org
Society of Obstetricians and Gynaecologists of Canada http://www.sogc.org
Brachial plexopathy. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated December 19, 2012. Accessed March 13, 2013.
Erb’s palsy. Patient UK website. Available at: http://www.patient.co.uk/showdoc/40001379. Updated January 22, 2010. Accessed March 13, 2013.
Erb's palsy (brachial plexus birth injury). American Academy of Orthopedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=a00077. Updated December 2010. Accessed March 13, 2013.
- Reviewer: Rimas Lukas, MD
- Review Date: 03/2014
- Update Date: 05/07/2014