Paediatric Upper Limb Problems

Question 1

Increased chance of obstetric brachial plexus palsy in what sort of births?

Answer 1

twins, shoulder dystocia, large babies

Question 2

Erb’s palsy affects which nerve roots?

Answer 2

C5/6

Question 3

Nerve roots C5/C6 innervate which muscles (5)?

Answer 3

deltoid, supraspinatous, infraspinatous, biceps, brachialis,

Question 4

Sign of erbs palsy

Answer 4

internal rotation of the humerous, waiters tip posture

Question 5

prognosis of erbs palsy is dictated by?

Answer 5

the return of biceps function by 6 months (80-90%)

Question 6

treatment of erbs palsy

Answer 6

physiotherapy to prevent contractures; surgical release of contractures if they occur

Question 7

Klumpkes palsy affects which nerve roots?

Answer 7

C8/T1

Question 8

Klumpke’s palsy is caused by?

Answer 8

foreced adduction causing paralysis of the intrinsic hand muscles and finger/wrist flexors

Question 9

treatment of Klumpke’s palsy?

Answer 9

there is no specific treatment and there is less than 50% chance of recovery