Erb Palsy
- PMID: 30020632
- Bookshelf ID: NBK513260
Erb Palsy
Excerpt
Erb palsy, or Erb-Duchenne paralysis, is a paralysis of the arm caused by the injury to the upper group of the main nerves supplying it, specifically the upper trunk C5-C6 of the brachial plexus. It is one of the most common neurological birth injuries, and these injuries most commonly, though not exclusively, arise from the traction on the neck during difficult childbirth. According to the severity of the injury, it can either resolve on its own over some time or may require rehabilitative therapy and surgery.
It is often assumed that the cause is the obstetrical technique during delivery, but two major risk factors include shoulder dystocia and the large size of the fetus. Most cases resolve with time, but a few infants may need surgery. Permanent disability is rare.
Copyright © 2025, StatPearls Publishing LLC.
Conflict of interest statement
Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Prognosis
- Complications
- Postoperative and Rehabilitation Care
- Consultations
- Deterrence and Patient Education
- Pearls and Other Issues
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
-
- Bourque PR, Warman Chardon J, Bryanton M, Toupin M, Burns BF, Torres C. Neurolymphomatosis of the Brachial Plexus and its Branches: Case Series and Literature Review. Can J Neurol Sci. 2018 Mar;45(2):137-143. - PubMed
-
- Acker DB, Gregory KD, Sachs BP, Friedman EA. Risk factors for Erb-Duchenne palsy. Obstet Gynecol. 1988 Mar;71(3 Pt 1):389-92. - PubMed
-
- Levine MG, Holroyde J, Woods JR, Siddiqi TA, Scott M, Miodovnik M. Birth trauma: incidence and predisposing factors. Obstet Gynecol. 1984 Jun;63(6):792-5. - PubMed
Publication types
LinkOut - more resources
Full Text Sources
Miscellaneous