Neonatology Book

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Duchenne-Erb Paralysis

Aka: Duchenne-Erb Paralysis, Duchenne-Erb Palsy, Erb-Duchenne Paralysis, Erb-Duchenne Palsy, Erb-Duchenne Brachial Plexopathy
  1. Epidemiology
    1. Most common type associated with Brachial Birth Trauma
  2. Pathophysiology
    1. Upper Roots (C5 to C6) Injury
  3. Signs: Waiter's Tip
    1. Arm adducted and internally rotated
    2. Forearm pronated
    3. Wrist flexed
    4. Finger function and grasp reflex are normal
    5. Moro Reflex and Biceps Reflex absent on affected side
    6. Waiter's Tip position if C7 involvement
  4. Prognosis
    1. Fair to good recovery of arm function: 50-80%
  5. References
    1. Goetz (1999) Neurology, Saunders, p. 259
    2. Bower (2001) Clin Fam Pract 3(2):401-27 [PubMed]

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