1 Department of Physical Medicine and Rehabilitation, The Children's Hospital of the District of Colunthia, Washington, D.C.
Experience in the diagnosis, treatment, and evaluation of residua of brachial plexus paralysis in 25 infants is presented. Associated defects substantiate the traumatic nature of the deliveries.
The electromyogram proved a valuable tool in the exact delineation of the pathology and in determination of prognosis.
Early optimum treatment prevented atrophy and contractures. Of the 20 babies with adequate follow-up, approximately
recovered by 6 months with minimal deficit, over
recovered by 1 year with moderate residua to include persistent weakness, delay in bone growth, dislocation, and peculiar posturing of the arm; and the other three infants showed significant handicaps.
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