ERB'S PALSY (BRACHIAL PLEXUS BIRTH PALSY)
AKINWUMIJU, OLUBUNMI ABIDEMI
O.A.U.T.H.C. school of nursing
Ife hospital unit, ile-ife.
Erb's palsy is a form of brachial plexus palsy. It is named for one of the doctors who first described this condition, Wilhelm Erb. The brachial plexus is a network of nerves near the neck that give rise to all the nerves of the arm. These nerves provide movement and feeling to the arm, hand, and fingers. Palsy means weakness, and brachial plexus birth palsy causes arm weakness and loss of motion. Figure A……Diagram of brachial plexus.
In most cases of brachial plexus birth palsy, it is the upper nerves that are affected. This is known as Erb's palsy. The infant may not be able to move the shoulder, but may be able to move the fingers. If both the upper and lower nerves are stretched, the condition is usually more severe than just Erb's palsy. This is called a "global," or total, brachial plexus birth palsy. In general, there are four types of nerve injuries. All can occur at the same time in the same infant. The symptoms of a nerve injury are the same (loss of feeling and partial or complete paralysis), regardless of the type of injury. It is the severity of the injury that affects both treatment decisions and the extent of recovery possible. Neurapraxia
A stretch injury that "shocks," but does not tear the nerve is the most common type. This is called a neurapraxia. Normally, these injuries heal on their own, usually within 3 months. Neurapraxia can happen in adults, as well as infants. For example, when it happens to football players who are injured during play, it is called "burners and stingers." Neuroma
A stretch injury that damages some of the nerve fibers may result in scar tissue. This scar tissue may press on the remaining healthy nerve. This condition is called a "neuroma." Some, but not total, recovery usually occurs. Rupture
A stretch injury that causes...
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