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Flashcards in birth injuries Deck (14)
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1

birth-related brachial plexus injury symptoms

no movement in the upper or lower arm or hand
Absent Moro reflex on the affected side
Arm flexed (bent) at elbow and held against body (Erb’s Palsy)
Decreased grip on the affected side

2

Erb-Duchenne (Erb’s) Palsy or “Brachial Plexus Birth Palsy”

90% of cases
Upper brachial plexus injury
Injury to C5 and C6
Unable to abduct shoulder, externally rotate arm, or supinate forearm
Waiter’s tip posture

3

Bilateral Brachial Plexus Injury

10-20% of cases
Occurs in breech births

4

Total Plexus Injury

10% of cases
Injury to C5-T1
Flaccid arm with absent reflexes

5

Klumpe's Palsy

1% of cases
Lower brachial plexus injury
Injury to C8-T1
Unable to grasp or flex wrist
Claw Hand

6

4 month old infant is diagnosed with Klumpke Palsy and presents with a claw hand. Which of the following nerves is more severely affected?

median and ulnar?

7

A condition in which neck muscles contract, causing the head to twist to one side

Torticollis

8

types of torticollis

Congenital
Acquired

9

Rate of Incidence of torticollis

16% of newborns
More with plagiocephaly may be underreported

10

when might the congential tortillois happen?

Position in the womb or in infancy
Breech delivery

Abnormal developmental of the sternocleidomastoid (SCM)

Trauma or injury of the SCM
Stretching or pulling of SCM during delivery
Development of scar tissue

11

when might acquired tortillois happen?

Congenital abnormalities of the cervical spine
Tumor growth
Causing neurological/muscular impairment
Arthritic attack on neck vertebrae
Gastroesophageal reflux
Blood vessel or lymphatic system disorder
Infections
Spinal cord, neck, head, jaws, mouth, and/or scalp

12

a condition characterized by an asymmetrical distortion (flattening of one side) of the skull. It is characterized by a flat spot on the back or one side of the head caused by remaining in a supine position for too long

plagiocephaly

13

types of plagiocephaly

Occipital
Parietal
Temporal

14

Causes/Risk Factors plagiocephaly

Position in womb
Prematurity
Positioning in carriers and convenience devices
Back sleeping