Abstract
Brachial plexus injury is the most common cause of plegic arm in neonates. Detection of nerve root avulsions and intraspinal nerve lesions is most valuable for treatment strategy. Magnetic resonance imaging (MRI) is the modality of choice for imaging the brachial plexus in infants as it allows visualization and localization of different types of nerve lesions in a noninvasive way and without radiation exposure. Conventional radiography of the shoulder is of interest in follow-up to assess osseous deformities of the glenoid fossa and humeral head. We report a case of obstetric brachial plexus injury complicated with glenohumeral shoulder deformity in a 3-year-old girl.
Highlights
Brachial plexus injury is the most common cause of plegic arm in neonates
Delivery was complicated by shoulder dystocia and the infant was noted to have a left upper extremity palsy.There was no Horner
An Magnetic resonance imaging (MRI) at the age of 5 months showed a pseudomeningocele at the level C7-T1 with a root avulsion of C8 on the left side (Fig. 1)
Summary
Brachial plexus injury is the most common cause of plegic arm in neonates. Detection of nerve root avulsions and intraspinal nerve lesions is most valuable for treatment strategy. Magnetic resonance imaging (MRI) is the modality of choice for imaging the brachial plexus in infants as it allows visualization and localization of different types of nerve lesions in a noninvasive way and without radiation exposure. Conventional radiography of the shoulder is of interest in follow-up to assess osseous deformities of the glenoid fossa and humeral head. We report a case of obstetric brachial plexus injury complicated with glenohumeral shoulder deformity in a 3-year-old girl
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