Kl

umpkePar
alysi
s

Kl
umpkepar
aly
sisi
sar
aret
ypeofbi
rt
hinj
uryt
othener
vesar
oundanewbor
n'sshoul
der
,knownast
hebr
achi
alpl
exus.Mostt
ypes
ofbr
achi
alpl
exusi
njur
iesaf
fectt
heshoul
derandupperar
m.Kl
umpkepar
aly
sisaf
fect
sthemov
ementoft
hel
owerar
m andhand.

Regi
ons

Kl
umpkepar
aly
sisi
scausedbyani
njur
ytot
hener
vesoft
hebr
achi
alpl
exust
hatwhi
chmayr
esul
tdur
ingbi
rt
hduet
oaadi
ff
icul
t
del
i
ver
y.Thi
sinj
urycancauseast
ret
chi
njur
y(neur
opr
axi
a),
scar
ri
ng,
ort
ear
ingoft
hebr
achi
alpl
exusner
ves.Tear
ingi
scal
l
edan
"
avul
sion”whent
het
eari
satt
hespi
ne,
and“
rupt
ure”wheni
tisnot
.Di
agnosi
sofKl
umpkepar
aly
sisi
smadeatbi
rt
hbyphy
sical
ex
ami
nat
ion.Somet
imesx
-ray
sandot
hert
est
sar
edonet
odet
ermi
net
heex
tentoft
hener
vedamage.Mosti
nfant
swi
thKl
umpke
par
aly
sishav
ethemor
emi
l
dfor
m ofi
njur
y(neur
opr
axi
a)andof
tenr
ecov
erwi
thi
n6mont
hs.
[1]
[3]Somei
nfant
swi
l
lrequi
re
sur
ger
y.[
2]Rar
ely
,inf
ant
swi
thKl
umpkepar
aly
siswi
l
lhav
esomeper
manentdamage.
[2]

Theaf
fect
edar
m maybei
mmobi
l
izedacr
osst
hebodyf
or7t
o10day
s.[
4]Formi
l
dcases,
gent
lemassageoft
hear
m andr
ange-
of-
mot
ionex
erci
sesmayber
ecommended.
[5]Fort
ornner
ves(
avul
sionandr
upt
urei
njur
ies)
,sy
mpt
omsmayi
mpr
ovewi
thsur
ger
y.[
4]

Mosti
nfant
srecov
erf
rom t
hest
ret
chi
njur
ies(
neur
opr
axi
a).Af
ter4mont
hs,
addi
ti
onal
treat
mentopt
ionsmayi
ncl
ude:
[5]

Sur
ger
yont
hener
ves(
e.g.
,ner
vegr
aft
sandneur
omaex
cisi
on)

Tendont
ransf
erst
ohel
pthemuscl
est
hatar
eaf
fect
edbyner
vedamagewor
kbet
ter

Tr
eat
ment
:Tr
eat
mentef
fect
ivenessv
ari
esdependi
ngont
hei
nit
ial
sev
eri
tyoft
hei
njur
y.Phy
siot
her
apyi
susedt
oincr
easest
rengt
h
ofmuscl
eandi
mpr
ovemuscl
efunct
ions.El
ect
ri
cal
modal
i
tiessuchasel
ect
ri
cner
vest
imul
ati
oncanal
sobeused.
[ci
tat
ionneeded]

Occupat
ional
ther
apyt
opr
ovi
deex
erci
sesandcopi
ngmechani
smst
oimpr
ovet
hepat
ient
'sabi
l
ityt
oper
for
m act
ivi
ti
esofdai
l
y
l
i
ving.Goal
soft
her
apyar
etoi
mpr
ovet
act
il
esensat
ion,
propr
iocept
ion,
andr
angeofmot
ion.
[ci
tat
ionneeded]

Acut
etr
eat
mentofasev
erei
njur
ywi
l
linv
olv
ereposi
ti
oni
ngandspl
i
nti
ngorcast
ingoft
heext
remi
ty[
cit
ati
onneeded]
.