Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Peds > Obstetric Brachial Plexus Injury > Flashcards

Obstetric Brachial Plexus Injury Flashcards

1
Q

Erb’s Palsy

A

C5, C6, C7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Klumpke Palsy

A

C8, T1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Total Palsy

A

C5-T1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Shoulder Dystocia

A

A common occurrence in OBPI

Happens when shoulder butts up against pubis

Almost like an AC separation, but in a baby

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Risk Factors

A

Large size baby (diabetic moms)

Breech delivery

Mother with many previous deliveries

Maternal obesity

Prolonged second stage of labor

Prolonged pregnancy

Maternal diabetes

Midpelvic operative delivery

Vacuum or forceps delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Typical presentation of Erb’s Palsy

A 
Shoulder ADD and IR
Elbow extension
Forearm pronation
Wrist and finger flexion
Ulnar deviation or drift of wrist

“Waiter’s tip posture”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Neuropraxia

A

Physiologic block of nerve

Most common

Best for recovery of function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Avulsion

A

Nerve torn from the spine

Worst for recovery

Most need neurosurgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Nerve ruptures

A

Axonotmesis
Neurotmesis
Neuroma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Axonotmesis

A

Anatomic disruption of axon with little disruption of connective tissue

Myelin is fine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Neurotmesis

A

Anatomic disruption of axon AND connective tissue (myelin)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Neuroma

A

Nerve torn and healed, but scar tissue surrounding the injury also limits nn conduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Assessment

A

Narakas or Gilbert and Tassen System

Hospital for Sick Children Active Movement Scale

Mallet Classification

PROM and MMT

EMG

Functional Assessments - PEDI, Jebsen, Peabody

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Obstetric Brachial Plexus Injury

A

Due to BP traction during birthing process

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

PT and OT

A 
PROM (lots)
AROM
Stretching
Facilitation of use, strengthening
NMES, FES
Kinesiotaping
Forced use
Gross and Fine Motor Function, ADL's
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Clarion posture

A

Limited ER

Similar to hands to heart’s center

ONE OF THE MOST LIMITED MOTIONS IN THESE CHILDREN

17
Q

Neurosurgery for Erb’s Palsy

A

FAIR outcome for reconnection and reconduction

18
Q

Last motions to come back

A

Supination of forearm and ER of shoulder

Arms OH, too

19
Q

Outcome???

A

Biceps out initially

Work up to elbow ext + supination

20
Q

3 mos of PT

A

If they don’t have biceps recovery, they should be referred for neurosurgery

21
Q

Horner’s Sign

A

Ptosis and tearing on side of OBPI

22
Q

Prognostic factors

A

No association with initial symptoms

No association with ethnic background or SES of the parents

23
Q

Eventual neurological recovery

A

Sup and ER best indicators at 3 mos for predicting neurological recovery

24
Q

Mean age of children as time of functional outcome assessment

A

3 years 10 mos

Demand for ADL function is minimal at that age

Likely that functional problems will increase with age

Peds (25 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions