Congenital Brachial Plexus Palsy - Clinical Scenario

A newborn presents with a limp left arm since delivery, suspected of congenital brachial plexus palsy.
Congenital Brachial Plexus Palsy - Clinical Scenario

Clinical Scenario

You are working with the national brachial plexus service. A baby is referred to your clinic by the neonatologists as they have had a limp left arm since the time of delivery.

Objectives:
1. Take a history from parents of a baby with congenital brachial plexus palsy.
2. Examine the baby and create a differential diagnosis.
3. Plan appropriate investigations.
4. Discuss your surgical management plan.
5. Discuss longer-term follow-up and potential sequelae.

Primary Contributor: Dr Suzanne Thomson, Educational Fellow.
Reviewer: Dr Kurt Lee Chircop, Educational Fellow.

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