Erb palsy, or Erb-Duchenne paralysis, isone of the most common neurological birth injuries. It is caused by injury to the brachial plexus, which is formed from the ventral rami of cervical nerves 5 to 8 and thoracic nerve 1. The brachial plexus innervates all muscles of the upper limb except the trapezius.


What is Erb-Duchenne paralysis characterized by?

Erb palsy, or Erb-Duchenne paralysis, is one of the most common neurological birth injuries. It is caused by injury to the brachial plexus, which is formed from the ventral rami of cervical nerves 5 to 8 and thoracic nerve 1. The brachial plexus innervates all muscles of the upper limb except the trapezius.

What causes Erb paralysis?

Erb's palsy is a condition characterized by arm weakness and loss of motion. It can occur in both infants and adults. It's typically caused by a physical injury during newborn delivery or by traumatic force downward on the upper arm and shoulder, damaging the brachial plexus.

What is the difference between Erb and Klumpke?

What causes Erb's palsy? Erb's palsy is often caused by excessive pulling of the neck or head during childbirth. There are many factors that can increase the odds of your child developing Erb's palsy. Some of these risk factors include high birth weight, abnormal pelvic shape, prolonged delivery, and more.

What is the presentation of Erb Duchenne palsy?

The difference between klumpke and erb's palsy is where the damage to the musculocutaneous nerves occurs: Damage to the upper part of the brachial plexus causes erb's palsy. Damage to the lower part of the brachial plexus causes klumpke palsy.

What nerves are damaged in Erb-Duchenne syndrome?

Erb's palsy results from injury to nerve roots C5 and C6, with C7 also affected in 50% of instances. Muscles involved are listed in Table 1. The classical sign of Erb's palsy is the 'waiter's tip hand'. The arm hangs limply from the shoulder with internal rotation of the forearm plus wrist and finger flexion.

Why is it called Erb's point?

Neurologically, the Erb's point is a site at the upper trunk of the Brachial Plexus located 2-3cm above the clavicle. It's formed by the union of the C5 and C6 roots which later converge. Affected nerves in Erb's palsy are the axillary nerve, musculocutaneous, & suprascapular nerve.

What muscles are lost in Erb's palsy?

The nerve point of the neck, also known as Erb's point, is a site at the upper trunk of the brachial plexus located 2–3 cm above the clavicle. It is named for Wilhelm Heinrich Erb. Taken together, there are six types of nerves that meet at this point.

Why is my baby not moving his left arm?

In Erb (upper) palsy, there is weakness at the shoulder of abduction (deltoid, C-5) and external rotation (spinati, C-5), at the elbow of flexion (biceps, brachioradialis, C-5, C-6) and supination (biceps, supinator, C-5, C-6), and to a variable extent at the wrist and fingers of extension (extensors of the wrist and ...

Who are some famous people with Erb's palsy?

Although motor control is limited in newborns, infants move their arms around right after birth. If one arm moves and the other does not, it is likely a sign of Erb's palsy. The lack of movement may be mild or severe, ranging from merely a limited range of motion at the shoulder to no movement at all.

Is Erb's palsy UMN or LMn?

Erb–Duchenne palsy presents as a lower motor neuron syndrome associated with sensibility disturbance and vegetative phenomena. The most commonly involved nerves are the suprascapular nerve, musculocutaneous nerve, and the axillary nerve.

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