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- ocurs with significant lateral traction during vaginal delivery of an infant
- results in damage to the upper part of the brachial plexus, especially the 5th and 6th cervical roots
- results in paralysis of hte shoulder and arm
- the affected arm is held in adduction and internal rotation
- most resolve spontaneoulsy, but some may require physical therapy after 2 weeks
- surgery is rarely required, and has poor results
- always palpate for ipsilateral clavicel fractures!
References
MedStudy Pediatrics Board Review
Core Curriculum