- See:
-
Obstetrical Paralysis
-
Shoulder in brachial plexus injuries:
- Discussion:
- nonbirth-related
Brachial Plexus injuries in children are rare;
- as result, very little has been written about this topic;
- over 50% have assoc head injuries consistent with high-energy trauma;
- supraclavicular nerve lesions predominate as in obstetric palsies;
- root avulsion is common;
- Natural History:
- most pts will show some spontaneous recovery;
- prognosis is good if there is early, partial recovery before third month;
- prognosis is poor when there is a lack of clinical neurologic recovery
by the third month following injury;
- Surgical Treatment:
- prognosis is poor when there is a lack of clinical neurologic recovery
by the third month;
- in such cases, early surgical intervention is warranted;
- surgery is directed at restoration of hand sensation and elbow flexion;
