Brachial Plexus Injury


Background

Pathophysiology

Diagnosis

Differential Diagnoses

Treatment

  1. Initial management conservative
  2. Need neurologic evaluation to recommend further workup and to establish baseline loss of function so that improvement may be monitored
  3. Usually if not better by 3-6 months, there will be permanent deficits
  4. Reassure parents and make sure that you do not boldly claim that the arm will be perfect in a short period of time

Follow-up

Prognosis

  1. Full recovery in 65-95%
  2. Worst prognosis
  3. Prognosis more guarded with C7 involvement
  4. If entire plexus involved or C8-T1, there is a 3-16% chance of permanent weakness