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Treatment of Erbs Palsy

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Cost for treatment

Diagnostics of erbs palsy
 from  367
Surgery treatment of erbs palsy
 from  4719
Neurological rehabilitation Phase C
 from  447

HELIOS Clinic Krefeld

9.7/10
location_onGermany, Krefeld

Department of Adult and Pediatric Orthopedics, Traumatology and Hand Surgery

Founded in 2014, the HELIOS Clinic Krefeld is one of the most modern medical facilities in Germany today. A team of highly qualified specialists, innovative medical equipment and comfortable accommodation conditions – the clinic has everything to make the treatment run smoothly and efficiently. Having crossed the threshold
Diagnostics of erbs palsy
1492
Surgery treatment of erbs palsy
12624

Memorial Bahcelievler Hospital Istanbul

9.2/10
location_onTurkey, Istanbul

Department of Adult and Pediatric Orthopedics, Traumatology, Hand, Foot Surgery and Spinal Surgery

The Memorial Bahçelievler Hospital Istanbul is an advanced multidisciplinary medical center that began its clinical practice in 2018. It is part of the world famous Memorial Healthcare Group. The hospital was designed in accordance with the very latest standards of modern architecture with the aim of providing top-class m
Diagnostics of erbs palsy
582
Surgery treatment of erbs palsy
7624

Academic Municipal Hospital Karlsruhe

9.8/10
location_onGermany, Karlsruhe

Department of Adult and Pediatric Traumatology, Hand and Orthopedic Surgery

According to the prestigious Focus magazine, the Academic Municipal Hospital Karlsruhe ranks among the top German hospitals! The hospital positions itself as a modern maximum care medical facility, which combines long traditions and progressive achievements of modern medicine. The hospital operates on the basis of the University
Diagnostics of erbs palsy
1483
Surgery treatment of erbs palsy
12505

Medipol Mega University Hospital Istanbul

8/10
location_onTurkey, Istanbul

Department of Adult and Pediatric Orthopedics, Traumatology

The Medipol Mega University Hospital is the leading and the largest medical facility in Turkey where the patients can receive top-class medical services according to the international standards. Thanks to a highly qualified medical team, cutting-edge medical technology and a special atmosphere aimed at recovery, the hospital has
Diagnostics of erbs palsy
644.4 help564
Surgery treatment of erbs palsy
8574.4 help7677

Rambam Health Care Campus Haifa

9.8/10
location_onIsrael, Haifa

Department of Orthopedic Surgery

The Rambam Health Care Campus Haifa is the largest and the most progressive hospital in Northern Israel. The medical center was founded in 1938 and nowadays is proud of its long history, rich and successful experience in providing comprehensive medical services in all medical fields. The hospital serves more than 2 million local
Diagnostics of erbs palsy
830
Diagnostics of erbs palsy
818
Surgery treatment of erbs palsy
10965

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Hand Surgery, Plastic and Aesthetic Surgery

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Diagnostics of erbs palsy
1650
Diagnostics of erbs palsy
1673
Surgery treatment of erbs palsy
14832

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Trauma, Hand and Reconstructive Surgery

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Diagnostics of erbs palsy
1556
Surgery treatment of erbs palsy
13245

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department for Adult and Pediatric Orthopedics, Trauma Surgery

According to the prestigious Focus magazine, the University Hospital Carl Gustav Carus Dresden is among the top three hospitals in Germany! The hospital is the embodiment of the standards of modern high-quality medicine. Since the hospital positions itself as a maximum care medical facility, it represents all medical fields. The
Diagnostics of erbs palsy
1832
Surgery treatment of erbs palsy
17100

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Traumatology, Hand Surgery, Plastic and Reconstructive Surgery

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Diagnostics of erbs palsy
1526
Surgery treatment of erbs palsy
13227

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Plastic Surgery, Adult and Pediatric Hand Surgery

According to the Focus magazine, the University Hospital Erlangen ranks among the top German medical facilities! The hospital is one of the leading medical facilities in Bavaria and offers the highest level of medical care, which is characterized by the close intertwining of clinical activities with research and training of medi
Diagnostics of erbs palsy
1587
Surgery treatment of erbs palsy
14022

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Trauma, Hand and Reconstructive Surgery

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Diagnostics of erbs palsy
1849
Diagnostics of erbs palsy
1832
Surgery treatment of erbs palsy
17166

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Orthopedics and Traumatology

According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
Diagnostics of erbs palsy
0.00
Surgery treatment of erbs palsy
14686

University Hospital RWTH Aachen

9.7/10
location_onGermany, Aachen

Department of Plastic, Burn Surgery and Hand Surgery

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Diagnostics of erbs palsy
1679
Surgery treatment of erbs palsy
14929

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Orthopedics and Traumatology

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Diagnostics of erbs palsy
1497
Surgery treatment of erbs palsy
12511

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Adult and Pediatric Traumatology, Hand Surgery

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
Diagnostics of erbs palsy
1674
Surgery treatment of erbs palsy
15088

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Adult and Pediatric Trauma, Hand, Reconstructive Surgery

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Diagnostics of erbs palsy
1660
Surgery treatment of erbs palsy
15127

About the disease

The first thing you need to know about this disease is that Erb's palsy is a paralysis of arm due to trophic disorders of arm nerve endings. In most cases this type of palsy is caused by abnormally difficult childbirth. It means that during the birth a child damaged one of his arms, which resulted in its partial paralysis.

Children with Erb`s palsy can lose arm motion for several months. Disease is characterized by impaired mobility of an arm, supination and problems with shoulder lifting. Erb`s palsy is also known as Erb Duchenne palsy as it was named after two physicians who first researched and scientifically described this disease. It is not a very rare illness with 1-2 cases per thousand births. It had been researched during last decade but despite all this Erb's palsy still presents a medical problem in neurology, orthopedics, pediatrics and gynecology.

As it was mentioned above, Erb's palsy is a traumatic injury of upper arm. Injury may originate either in arm or in shoulder. Most often Erb`s palsy occurs during difficult child labor. It can be caused if head of baby was pulled roughly when baby was moving through birth canal. In adults it can be caused by severe injury to the shoulder.

Overall, causes of palsy are:

  1. Acquired trauma
  2. Difficult childbirth
  3. Smoking and alcohol consumption during pregnancy

Symptoms

There are 3 stages of this disease. Acute paralysis stage develops right after the birth or an injury and lasts approximately 1 month. Acute paralysis unables elbow flexion. Also a person can not move arms, shoulders or rotate torso.  There are reduced reflex biceps as newborns are not able to grasp things. Main symptoms are:

  • Hypertension of affected arm
  • Cold, pale skin
  • Sensory disorders
  • Reduced pain sensitivity
  • Restrained motion capacity

Acute stage usually follows by posttraumatic period which indicates recovery. Range of recovery depends on type of injury, efficacy of treatment and timely diagnosis. If a person suffered from mild Erb`s palsy, gradual increase in arm motion is possible. He can even restore full sensitivity of arm. Despite this, there can be noticeable shortening of arm. Asymmetry of the shoulder can cause curvature of the spine and result in scoliosis.

Diagnosis

Typically affected arm is rotated inward and this is the first indicator of Erb`s palsy. If there were complications during childbirth doctor can diagnose a child right after the birth. In adults, Erb's palsy develops gradually and is usually diagnosed by neurologist and an orthopedist. X-ray of the shoulder joint allows to see deviations in the form of person`s bone structure. Radiology can also detect increase in the distance from glenoid cavity to the proximal metaphyseal shoulder, which is also an indicator of Erb's palsy. If person injured his arm, fist signs preceding Erb's palsy are atrophy and osteoporosis of affected arm. These two symptoms help doctors conduct a more precise diagnosis.

Doctor can also use such diagnostic methods:

  • Ultrasound of the shoulder joint
  • Computer myelography
  • Electromyography
  • Electroneurogram
  • MRI of the spine

Evaluation of the pulse of arm nerve endings allows to determine nature of the damage and range of arm`s immobility. Indication for surgical treatment is based mainly on myelography, which gives a very detailed information about Erb's palsy and helps predict approximate time and range of recovery. MRI is less informative because it can not detect the root of avulsion.

Treatment

  • According to Brainandspinalcord.org, Erb's palsy may be prevented during the birth by improved delivery techniques. Nevertheless, if your child does have palsy, he needs to undergo a wide specter of treatment courses to fully recover and restore function of his arm. 
  • Transplantation of nerve is an effective and complex procedure when nerve graph of a donor is transplanted into affected area, where nerve endings are immobile.
  • After this procedure patients are recommended to undergo neurorehabilitation, which can expedite recovery from damage of nervous system. In case of Erbs`s palsy neurorehabilitation can help an arm to recover faster.
  • At the same time patients who are undergoing neurorehabilitation are recommended to undergo the course of massage, physiotherapy and reflexology. Courses of massage need to be continued again and again to have considerable effect. They also need to be performed by a classified masseuse, which can innervate nerve endings and increase arm mobility. Physiotherapy also aims to increase range of arm motion so that a person will not have problems in his everyday life. Exercises need to be done daily for at least 20 minutes. Even after Erb's palsy recovery a patient needs to keep exercising so that he will not have immobility of the affected limb.
  • Pharmacotherapy may include anti-inflammatory and analgesic drugs. Such drugs improve blood circulation of tissues of the brachial plexus. They need to be strictly dosed not to bring harm and taken only by doctor's prescription. Other agents that increase metabolism of nervous tissue can also be used as Erb's palsy treatment.
  • Surgical treatment can also be used if arm does not recover after course of nerve transplantation and neurorehabilitation. Surgery of Erb`s palsy usually means separation of spinal cord from brachial plexus nerve endings. In that case surgery needs to be done during first year of life. Best results from such surgery are obtained if it was performed before the age of 6-7 months. Therefore, if within 3 months conservative therapy did not bring significant success, surgery is necessary to stop the process of atrophy and to innervate nerve endings.
  • During surgery it is impossible to restore completely bone structure of arm, so that it will look the same as another arm. In order to create a more appealing structure of arm, doctors can perform orthopedic reconstructive plastic surgery so that a patient will not have appearance problems in his future. Nevertheless, one arm can be slightly higher than another after such surgery.

 




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