Pediatric Neonatal Brachial Plexopathy

Question 1

Most common level for Neonatal Brachial Plexus Palsy

Answer 1

C5-C6, Erb’s palsy.

Question 2

Risk factors for Neonatal Brachial Plexus Palsy

Answer 2

• Shoulder dystocia (most common association)
• Increased birth weight
• Multiparous mother

Question 3

Therapy for Neonatal Brachial Plexus Palsy

Answer 3

• Position inmediately
• ROM after 2 weeks
• Rattle on the affected arm to increased attention
• Replicate movement the baby does with the unaffected arm.
• Precaution of shoulder or radial head dislocation.
• Splinting

Question 4

When to recommend surgical intervention for Neonatal Brachial Plexus Palsy

Answer 4

Recommended for those having less than antigravity strength in elbow flexion at 6 months of age.