Perinatal Brachial Plexus Injury

Question 1

involves only lower nerve roots C8-T1

Answer 1

Klumpke’s Palsy

Question 2

most common perinatal brachial plexus injury, upper plexus involved C5,C6

Answer 2

Erb’s Palsy

Question 3

position that is often assumed with Erb’s palsy, shoulder IR, elbow extension, pronation, wrist flexion

Answer 3

Waiter’s tip position/deformity

Question 4

keys for intervention:

Answer 4

prevent contractures, scapulo-humeral adhesions

promote bone growth

Question 5

position that a child should be able to achieve fully before d/c

Answer 5

Full shoulder ABD and ER
Full supination
Full wrist and finger extension