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Erb palsy weakness or paralysis in the arm that is usually noticed after birth.
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Erb palsy is caused by stretching of the baby’s neck during labor and delivery. This can result in damage to the upper nerves of the neck and shoulder. The nerve damage can then cause certain muscles in the baby’s arm to be weak.
Stretching may be caused by:
Factors that may increase your chance of delivering a baby with Erb palsy include:
Often, Erb palsy is discovered after birth due to the typical signs and symptoms, such as:
You may be asked about your baby's symptoms and medical history. A physical exam will be done. Other tests may include:
Your baby may need imaging tests. This can be done with:
Your baby may need to have muscle and nerve activity recorded. This can be done with:
Over time, the baby can recover movement. Feeling in the arm can also be recovered. In some cases, long-lasting damage can occur.
Talk with the doctor about the best treatment plan, which may include:
When your child is older, other treatments may be recommended, such as:
To help reduce your baby’s chance of Erb palsy:
Family Doctor—American Academy of Family Physicians
Ortho Info—American Academy of Orthopedic Surgeons
Canadian Orthopaedic Association
Society of Obstetricians and Gynaecologists of Canada
Brachial plexopathy. EBSCO DynaMed Plus website. Available at:http://www.dynamed.com/topics/dmp~AN~T900412/Brachial-plexopathy. Updated June 12, 2015. Accessed September 29, 2016.
Erb’s palsy. Patient UK website. Available at: http://patient.info/doctor/erbs-palsy-pro. Accessed June 13, 2017. Updated November 9, 2017.
Erb's palsy (brachial plexus birth injury). Ortho Info—American Academy of Orthopedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=a00077. Updated October 2014. Accessed November 9, 2017.
Last reviewed November 2018 by EBSCO Medical Review Board Rimas Lukas, MD Last Updated: 12/20/2014