Erb's palsy with Miss Hazel Brown & Mr Tom Quick

Erb’s palsy is an uncommon and challenging condition, especially for non-specialists. What do you do if you are asked to see a new case? How do you go about a sensible assessment in an older child? What is the prognosis? And what are the latest treatment options and priorities?

We discuss these questions and more in this live interactive webinar, with specialist peripheral nerve surgeon Tom Quick and recognised paediatric nerve therapist/therapy lead Hazel Brown of the RNOH nerve injury unit.

It is difficult to assess from the available literature which treatment strategy is optimal for children with severe brachial plexus birth injury (BPBI). In particular, there is no generally accepted algorithm to decide whether nerve surgery should be performed, and if so, at which age, and based on which parameters. Different algorithms are available, but these are usually based on relatively small patient series.1 The same holds true for other treatment modalities, such as tendon transfers, osteotomies, botulin toxin injection, casting, splinting, and physiotherapeutical exercises.

Presentation handout

Further reading:

Pondaag, W. and Malessy, M.J.A. (2018), Outcome assessment for Brachial Plexus birth injury. Results from the iPluto world-wide consensus survey. J. Orthop. Res., 36: