Brachial Plexus Injuries Erb's Paralysis - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes Erb's Paralysis.
The spinal nerves of C5 to T1 are referred to as the roots of the brachial plexus.
Pressure over the point in red in the video ilicit the Duchenne – Erb paralysis.
Injury to Erb’s point is commonly sustained at birth or from a fall onto the shoulder.
Erb’s palsy is caused by lesions of the brachial plexus, normally involving the nerve roots of C5 and partly C6.
Symptoms include paralysis of the biceps, brachialis, and coracobrachialis (through the musculocutaneous nerve); the brachioradialis (through the radial nerve); and the deltoid (through the axillary nerve).
Impaired shoulder abduction, external rotation, and elbow flexion with decrease sensation in the thumb and index fingers with normal scapular control.
• Obstetric brachial plexus injuries:
1-Erb’s paralysis: Erb’s palsy is the most common birth related neuropraxia (about 48%) and it has the best prognosis.
- Its caused by a lesion of C5-C6 nerve roots. (in sone cases C7 is involved as well).
- Paralysis of shoulder ER, abductors and biceps “waiter’s tip”.
- Large babies, shoulder dystocia, forceps, breech, prolonged labor.
- 80%-90% of children with such injuries will attain mormal or near normal function follow the biceps.
- Persistent Horner’s sign (ptosis, myosis, and anhydrosis) is a sign of proximal injury- preganglionic injury, bad prognosis.

2- Klumpke Paralysis: injury to the lower roots (C8-T1) & orC7.
- May follow forceful abduction of the shoulder, producing weakness in intrinsics of the hands as well as long flexor and extensors of the fingers.
- These lesions are usually preganglionic.
- Look for a associated Horner’s syndrome.
- Sensory deficit is a long the medial aspect of the arm, forearm, and hand.

3- PAN- Plexus paralysis: sensory and motor –(C5-T1)
- Flaccid arm.
- Worst prognosis.

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[okk]

Paralysis of:
shoulder abductors
Shoulder external rotators
forearm supinators

the arm is held:
to the side
internally rotated
Forearm pronated & extended

[YuvalBelisha]

Nerve root exiting from the 7th Cervical Vertebra. Its named C8 and not C7 (like the vertebra its associated) with because their is a nerve root, C1, that exists above the C1 vertebra. Hence, even though there is 7 cervical vertebras there is 8 cervical nerve roots. 

[zach]

C8 is the cervical spinal nerve root found between C7 and T1.

[ilsole_]

Anyone know of a physician that can do reversals on palsies?

[IlovemyGOD]

the arm hangs by the side and is rotated medially; the forearm is extended and pronated

[ChannelClanVNN]

Hello. I had an accident arm is not raised and was in free fall, the doctor hurt C5 C6 nerve, functional wrist and hand function normally. I asked for the ability to recover is not sir

[samotehnoidebeleslape]

i have this thing. you get used to it. i literally can do everything i just have to find another way.

[manthanshrivastav]

Bro horner synd present in klumpke paralysis not in erbs palsy

[ChannelClanVNN]

chào ạ. e bị tai nạn cánh tay ko giơ lên được và bị rơi tự do, khám bác sĩ tổn thương dây thân kinh C5 C6, chức năng cổ tay và bàn tay hoạt động bình thường. cho e hỏi có khả năng phục hồi được ko ạ.

[astud]

It would be really nice if someone could narrate these videos!??  The background elevator music is unnecessary and distracting.

[sandeepjangra]

Dr. If someone having the C7 and T1 injury as well then how much chances of his recovery and what need to be done..

[estherssebbowa]

voice over please - as you have done in all you other videos!!!!

[rajivkrishnatr]

I have the postman thingy, my arm is always facing outward.

[jannathulfirthous]

Hi sir my daughter is affected my birth c5 and c6 now she is 7 years old but still she can't recover my say any treatment sir

[fadeskywards]

Can temporary Erbs paralysis be caused by a strong punch?

[cesarpena]

Yotengo el mismo problema ya tego tres años que mepaso miasidente y todavia no puedo mober mi braso y no se astacuando es triste estar asi ya no aguanto es terrible

[engindenizgibi]

çok teşekkür ederim süper tanrı sizinle olsun sevgi kalbine dolsun