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  1. Brachial Plexus Palsy
  2. 51 Tips for Coping with Cerebral Palsy by Dale Mann, 2009-08-02

61. Community Message Boards - Medical Malpractice
Question brachial plexus palsy. donna morales 7/20/2005 1131 PM. 1. Feedback rebrachial plexus palsy carol3 - 7/21/2005 857 AM
http://community.lawyers.com/messageboards/message.asp?channelId=&subId=&mId=673

62. Community Message Boards - Medical Malpractice
In general, brachial plexus palsy discovered at birth may occur due to trauma The vast majority of cases of congenital brachial plexus palsy are due to
http://community.lawyers.com/messageboards/message.asp?channelId=22&subId=&mId=6

63. Obstetrical & Gynecological Survey - UserLogin
Transient brachial plexus palsy has been reported to complicate only 15% of all Permanent brachial plexus palsy after a shoulder dystocia episode,
http://www.obgynsurvey.com/pt/re/obgynsurv/fulltext.00006254-200301000-00001.htm
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64. Obstetrical & Gynecological Survey - UserLogin
brachial plexus palsy Involving the Posterior Shoulder at Spontaneous VaginalDelivery. Hankins, Gary DV; Clark, Steven L.
http://www.obgynsurvey.com/pt/re/obgynsurv/fulltext.00006254-199510000-00007.htm
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65. Brachial Plexus Injuries
The brachial plexus palsy Foundation 210 Springhaven Circle Royarsford, PA 19468 The National Brachial Plexus/Erb s Palsy Association, Inc. PO Box 23
http://www.neurosurgery.pitt.edu/pediatric/conditions/brachialplexus.html

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Brachial Plexus Injuries Presently, brachial plexus and peripheral nerve injury is not well-understood in children. A multidisciplinary, comprehensive center for the study of brachial plexus and peripheral nerve injuries in the pediatric population places particular emphasis on children who suffer these types of injuries during the birth process or via other types of trauma. A regional, centralized comprehensive clinic offers the expertise in the evaluation and treatment for these children. Further programming through education and clinical and basic science research allows the center to be on the forefront in the understanding of the pathophysiologyof brachial plexus and peripheral nerve injuries and their treatment. To provide the highest level of expertise, the members of the multidisciplinary service include pediatric neurosurgery, plastic surgery/microsurgery, neurology, social work, radiology, trauma surgery, and physical and occupational therapy. The patients are evaluated by the combined disciplines and electrophysiologic evaluation and imaging (both anatomic and functional) are able to be coordinated through the resource centers for these modalities. Treatment options including surgical intervention or physical or occupational therapy is decided following a comprehensive review of the evaluative information amongst the members of the center using established principles.

66. The Journal Of Trauma: Injury, Infection, And Critical Care - UserLogin
Bilateral brachial plexus palsy is a rare entity in the world literature and is 4,5 We report a unique case of bilateral brachial plexus palsy affecting
http://www.jtrauma.com/pt/re/jtrauma/fulltext.00005373-200106000-00028.htm
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67. Klumpkes Palsy Brachial Plexus Palsy Erbs Palsy
Klumpkes Palsy, brachial plexus palsy, Erbs Palsy solicitors compensation claims.
http://www.hospitalnegligence.co.uk/brachial_plexus_birth_injury.html

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KLUMPKES PALSY BRACHIAL PLEXUS PALSY ERBS PALSY
Brachial plexus palsy is caused by damage to the network of nerves that run from the spinal cord across the shoulder and down the arms to the tips of the fingers. Injury to the nerves of the brachial plexus which control the muscles of the shoulder, arm, elbow, wrist, hand and fingers can result in full to partial paralysis of one or both arms. Possible symptoms of a brachial plexus injury include a limp or paralyzed arm, and lack of muscle control in the arm or hand. The three most common brachial plexus injuries are:
  • Klumpke's Palsy which is a paralysis of the seventh and eighth cervical and first thoracic nerves. Characteristic signs are that the hand is limp and the fingers do not move. There is often an associated Horners syndrome which is when the eyelid droops, the cheek does not sweat and the pupil is smaller than the unaffected eye. Complete Brachial Plexus Palsy occurs when all five nerves of the brachial plexus are affected. The entire arm is paralysed and there is often an associated Horner's Syndrome. Sensory loss in the arm is present and there may also be present Torticollis which is when the baby faces toward his good side and is unable to face forward for any length of time.

68. Birth Injury Attorneys – Baby Birth Injury
Erb s (Brachial) Palsy occurs an injury to the brachial plexus (a group of brachial plexus palsy The brachial plexus is a network of nerves that
http://www.lawinfo.com/index.cfm/fuseaction/Client.lawarea/categoryid/217
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    We are ready to take your baby birth injury case!
    Has your baby been injured during the process of labor and delivery or shortly after birth? You may be eligible for a personal injury lawsuit claim for your baby's birth injury . Contact a LawInfo Lead Counsel qualified birth injury attorney to find out what your legal rights may be and how to proceed with a lawsuit claim if it's determined you are eligible to pursue one.
    What is a Birth Injury?
    Complications in the process of labor and delivery can result in a wide variety of mild or severe health problems for a newborn baby. These problems are collectively known as birth trauma or birth injuries Birth injuries have been reported to occur in 27 of 1,000 live births and are more often caused by operative deliveries, whether vaginal or abdominal, than spontaneous (natural) deliveries.

69. Annals Of Plastic Surgery - UserLogin
Bilateral brachial plexus palsy After a Prolonged Surgical Procedure of brachial plexus palsy is a very rare complication that occurs when the arms are
http://www.annalsplasticsurgery.com/pt/re/annps/fulltext.00000637-200208000-0002
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70. Annals Of Plastic Surgery - UserLogin
Invited Discussion Obstetric brachial plexus palsy Associated With Breech Delivery.Clarke, Howard M. MD, PhD, FRCS(C), FAAP, FACS
http://www.annalsplasticsurgery.com/pt/re/annps/fulltext.00000637-200309000-0000
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71. Surgical Strategy For Infant Obstetrical Brachial Plexus Palsy: Experiences At C
Surgical Strategy for Infant Obstetrical brachial plexus palsy Experiences atChang Gung Memorial Hospital. 8/3/2005 Journal Plastic and Reconstructive
http://www.medcompare.com/litupdate.asp?ArticleID=6900

72. Erb's Palsy Resources: Frequently Asked Questions (FAQ)
Organizations brachial plexus palsy Foundation c/o 210 Springhaven CircleRoyersford, PA 19468 Brachial@comcast.net http//membrane.com/bpp
http://www.weitzlux.com/birthinjury/erbspalsy/faqs_1352.html
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Erb's Palsy Frequently Asked Questions
You can get answers to commonly asked questions about the birth injury Erb's Palsy, which is also known as a Brachial Plexus Injury. To get your free case review, fill out this simple form today. What are Brachial Plexus Injuries?
Is there any treatment?

What is the prognosis?

What research is being done?
... Organizations
What are Brachial Plexus Injuries?
return to top
Is there any treatment?
Some brachial plexus injuries may heal without treatment. Many children improve or recover by 3 to 4 months of age. Treatment for brachial plexus injuries includes occupational or physical therapy and, in some cases, surgery. return to top
What is the prognosis?
The site and type of brachial plexus injury determine the prognosis. For avulsion and rupture injuries there is no potential for recovery unless surgical reconnection is made in a timely manner. For neuroma and neuropraxia injuries the potential for recovery varies. Most patients with neuropraxia injuries recover spontaneously with a 90-100% return of function. return to top
What research is being done?

73. Quantum Books: Brachial Plexus Palsy
brachial plexus palsy. Author Kawai, H. (Edt)/ Kawabata ISBN 9810231393 PubDate Oct 1, 2000 Publisher World Scientific Shipping Weight 1.75 pounds
http://www.quantumbooks.com/Merchant2/merchant.mvc?Screen=PROD&Store_Code=qb&Pro

74. A Comparison Of Shoulder Dystocia-Associated Transient And Permanent Brachial Pl
Study patients had permanent brachial plexus palsy and had been entered into a Cases of transient brachial plexus palsy were obtained from a shoulder
http://www.greenjournal.org/cgi/content/abstract/102/3/544
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ORIGINAL RESEARCH
A Comparison of Shoulder Dystocia-Associated Transient and Permanent Brachial Plexus Palsies
Robert B. Gherman, MD Joseph G. Ouzounian, MD Andrew J. Satin, MD T. Murphy Goodwin, MD and Jeffrey P. Phelan, MD, JD OBJECTIVE: To estimate differences between shoulder dystocia-associated transient and permanent brachial plexus palsies. METHODS: We performed a retrospective case-control analysis from national birth injury and shoulder dystocia databases. Study patients had permanent brachial plexus palsy and had been entered into a national birth injury registry. Cases of Erb or Klumpke palsy with documented neonatal neuromuscular deficits persisting beyond at least 1 year of life were classified as permanent. Cases of transient brachial plexus palsy were obtained

75. The UCSF Orthopaedic Surgery Department - Patient Services - Pediatric Orthopaed
Upper limb, including deformities, congenital conditions such as trigger thumb,and brachial plexus palsy. The Division of Pediatric Orthopaedics consists
http://orthosurg.ucsf.edu/patientserv/orth_pediatrics.html
University of California, San Francisco About UCSF A-Z Web Listing UCSF Search Campus Directory Department of Orthopaedic Surgery Patient Services Patient Education Newsletters Faculty ... Make an Appointment Pediatric Orthopaedic Service The Division of Pediatric Orthopaedics at UCSF Children's hospital was founded in 1934. Pediatric Orthopaedics is a Division of the Department of Orthopaedic Surgery at the University of California, San Francisco, and a Clinical Service at The Children's Hospital at UCSF. We treat all disorders of the skeleton in children, including:
  • Spine deformities in children, including scoliosis, kyphosis or "hunch back", and spondylolisthesis.
    Hip dysplasis and other conditions, such as slipped capital femoral epiphysis, and Legg-Calve-Perthes disease
    Foot disorders, including club foot and cavus foot.
    Growth disturbances, including limb length discrepancy.
    Skeletal dysplasias, including achondroplasia, osteogenesis imperfecta and epiphyseal dysplasia.
    Syndromes including Marfan syndrome and neurofibromastosis.

76. Plastic And Reconstructive Surgery - UserLogin
Obstetrical brachial plexus palsy is an area of special interest for whichevidencebased data Birch, R. Obstetric brachial plexus palsy. J. Hand Surg.
http://www.plasreconsurg.com/pt/re/prs/fulltext.00006534-200507000-00021.htm
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77. Current Concepts Review - Obstetric Palsy
Obstetrical brachial plexus palsy results following neurolysis of conducting Anomalous reinnervation as a sequel to obstetric brachial plexus palsy.
http://bhj.org/journal/2003_4502_april/currentconcepts_320.htm
REVIEWS ARTICLES
Current Concepts Review - Obstetric Palsy
Rujuta Mehta, Anirbaan Chatterjee, Kanti P Shetty, Mukund R Thatte Obstetric brachial palsy needs to be treated with a definite plan in mind. A disappointing clinical and/or EMG recovery at 3 months is a good indication for exploration and if appropriate, microsurgical nerve reconstruction without further delay. Results are more encouraging than in the adult brachial palsy and secondary re-constructive procedures also offer rewarding results. Finally a close coordination between the surgeons the physiotherapist and the occupational therapist as well as continuous and realistic communication with parents go a long way in ensuring a favourable outcome.
INTRODUCTION
Historical Background
The condition was probably first described clinically in 1779 by Smellie who cited a case of bilateral arm paralysis following a face presentation, which resolved in a few days.
Danyau9 gave the first anatomic description in 1851. He carried out an autopsy on a neonate who died shortly after traumatic forceps delivery. Duchenne in 187211 attributed the injury to traction on the arm and introduced the term obstetric paralysis. Erb12 in 1874, in his monograph on brachial plexus injuries in adults reported his experiments on electrical stimulation of the brachial plexus. He discovered that the characteristic paralysis of the deltoid, biceps, coracobrachialis and brachioradialis could be caused by disruption of C5 and C6 roots at the point where they emerge just between the scalene muscles, [which has therefore been named after him].

78. Brachial Plexus And Peripheral Nerve Center Home Page
brachial plexus palsy occurs secondary to birthrelated injury (Erb s Palsy,Obstetric Palsy) Brachial Plexus; Cerebral Palsy; Congenital Hand Deformity
http://www.wfubmc.edu/ortho/brachial_plexus_menu.htm
Department of Orthopaedic Surgery Wake Forest Brachial Plexus and Peripheral Nerve Center Introduction Clinical Concerns in Brachial Plexus Injury Treatment Options Brachial Plexus Team ... Useful Links Introduction The Wake Forest Brachial Plexus and Peripheral Nerve Center integrates clinical care, research, and education to advance the treatment of all types of obstetric and adult brachial plexus injuries and peripheral nerve pathologies, such as carpal tunnel syndrome, cubital tunnel syndrome, thoracic outlet syndrome. The development of an integrated multidisciplinary team approach to fulfill our mission ensures that individual patient care is always the primary objective. The brachial plexus is a nerve network derived from the spinal cord that controls the movement and sensation of the hand and arm. Brachial plexus palsy occurs secondary to birth-related injury (Erb's Palsy, Obstetric Palsy), high speed trauma or results from tumor, radiation and compression. It is imperative that a patient with brachial plexus injury is evalulated by experienced medical specialists who can monitor and treat the patient early. The goal of the Brachial Plexus and Peripheral Nerve Center is to provide a state-of-art diagnostic facility, surgical techniques and therapeutic approaches to maximize a patient's functional recovery. This is accomplished by an experienced multi-specialty team including reconstructive hand surgeons, neurologists, neurophysiologists, neuroradiologists, physical and occupational therapists.

79. Brachial Plexus Palsy With The Use Of Haloperidol And A Geriatric Chair -- King
A right brachial plexus palsy was diagnosed. This case demonstrated the hazardsof two commonly used interventions in a nursing home antipsychotic agents
http://www.theannals.com/cgi/content/abstract/25/10/1072
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DICP, The Annals of Pharmacotherapy : Vol. 25, No. 10, pp. 1072-1074.
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Brachial plexus palsy with the use of haloperidol and a geriatric chair
T King and L Mallet An 81-year-old white man was admitted to an intermediate care facility because of increased wandering and confusion secondary to dementia. On the first day after admission, the patient tried to leave the facility and was hitting and kicking the employees. Haloperidol 0.5 mg tid was prescribed to help control his behavior. He became more agitated and confused; haloperidol was then increased to 1 mg qid and the patient was confined to a geriatric chair to prevent injuries. Cogwheel movements, rigidity, and marked sedation were documented. A right brachial plexus palsy was diagnosed. This case demonstrated the hazards of two commonly used interventions in a nursing home: antipsychotic agents and the geriatric chair.
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80. Brachial Plexus Palsy In Newborn Infants -- Eng 48 (1): 18 -- Pediatrics
Late Treatment of brachial plexus palsy Secondary to Birth Injuries Rotational Developmental apraxia arising from neonatal brachial plexus palsy
http://pediatrics.aappublications.org/cgi/content/abstract/48/1/18
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Brachial plexus palsy in newborn infants
GD Eng
Department of Physical Medicine and Rehabilitation, The Children's Hospital of the District of Columbia, 2125 13th Street, N.W., Washington, D.C. 20009. ABSTRACT. Experience in the diagnosis, treatment, and evaluation of residua of brachial plexus paralysis in 25 infants is presented. Associated defects substantiate the traumatic nature of the deliveries. The electromyogram proved a valuable tool in the exact delineation of the pathology and in determination of prognosis. Early optimum treatment prevented atrophy and contractures. Of the 20 babies with adequate follow-up, approximately 1/3

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