Traumatic Brachial Plexus Palsy in Children



- 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



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Thursday, December 15, 2011 11:49 am