Obstetric brachial plexus injury obpi also known as birth brachial plexus injury bbpi is unfortunately a rather common injury in newborn children incidence varies between 015 and 3 per 1000 live births in various series and countries although spontaneous recovery is known there is a large . 1 2 the term obstetrical brachial plexus palsy obpp has also been used but has negative implications accordingly other terms such as birth related brachial plexus injury brbpi are often preferred particularly in the united states injuries associated with the upper brachial plexus are classically termed erb palsies and those . The brachial plexus is a network of nerves that originates at the spinal cord near the neck and passes down your upper arm from under your collar bone this network can be injured during the birthing process and is referred to as obstetrical brachial plexus injury the brachial plexus consists of 5 nerve roots. Brachial plexus injuries can occur as a result of shoulder trauma tumours or inflammation the rare parsonage turner syndrome causes brachial plexus inflammation without obvious injury but with nevertheless disabling symptoms but in general brachial plexus injury can be classified as either traumatic or obstetric. The nath method of treatment of brachial plexus injuries in the newborn has arisen out of my experience of over 22 years and several thousand patients it relies on understanding the anatomic and physiologic bases for the most common abnormalities of function that arise from these injuries
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