Early passive motion and prompt recognition of contracture and deformity are critical in managing secondary problems after brachial plexus birth palsy.
Supports early intervention emphasis in brachial plexus birth palsy; hypothesis-generating and should not yet change practice.
Brachial plexus birth palsies frequently result in permanent muscle weakness and loss of motion. The resultant weakness can lead to muscle imbalance about the shoulder, elbow, forearm, or hand. Early passive motion is critical to minimize secondary contracture and deformity. Nonetheless, contracture and deformity are common sequelae, especially about the shoulder and forearm. These deformities occur early and often and require prompt recognition and treatment. This article discusses the reasoning behind muscle imbalance that leads to contracture and deformity. In addition, diagnostic and treatment strategies are emphasized to maximize patient outcome.
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Scott H. Kozin (2012) studied this question.
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