ERB’S PALSY
- C5-6 lesion with paralysis of the shoulder muscles and elbow flexors
- The arm is internally rotated with the extension of the elbow, pronation of the forearm and flexion at the wrist (waiter tip position).
- The Moro reflex is diminished on the affected side.
KLUMPKE PALSY
- C8-T1 lesion causing claw hand deformity
- Hyperabduction of the shoulder and arm
- Horner’s syndrome.
ERB-DUCHENNE-KLUMPKE PALSY
- Combined lesion involving the entire arm
- Associated with diaphragm paralysis if C4.
MANAGEMENT
- Chest / arm x-ray to exclude clavicle and humerus fracture.
- Physiotherapy before discharge (to avoid contractures).
- Follow up at 4-6 weeks.
- In paralysis, at 8-12 week, refer for nerve conduction studies, MRI and possible surgical exploration.
