Erb's Palsy Law for victims of Brachial Plexus and Shoulder Dystocia Erb's Palsy Law for victims of Brachial Plexus and Shoulder Dystocia Children are born with birth complications every day. But it's possible that some of those birth complications, like Erb's Palsy (Brachial Plexus and Shoulder Dystocia), could have been prevented. Sometimes Erb's Palsy is due to an accident in the labor and delivery of a child. You deserve to know if your child's disability is due to negligent care and you have the right to investigate its cause and to know the options you have. You have the right to seek legal assistance to help defray medical bills, therapy costs and help prevent the same error from happening again to other children. Erb's Palsy Legal Help is here to provide assistance. You may email us an inquiry about what financial and legal assistance your child may be entitled to. What Causes Erb's Palsy? The process of pregnancy and childbirth is extremely complicated and complications are common. An improper medical decision can cause Erb's Palsy. [continue] What treatments are available to treat my child? Our legal system has an array of benefits for those who have Erb's Palsy to help make life easier and provide financial assistance. [continue] What legal rights do I have? Speak to an Erb's Palsy Lawyer to inquire about your rights and what legal benefits you may be entitled to. [continue] How do I find an attorney Locate a skilled attorney. [continue] What is Erb's Palsy? | Causes of Erb's Palsy | Erb's Palsy Treatment What are our Legal Rights? | Find Legal Help | Resources
Wat is schouder dystocie ?? Impaction of the anterior shoulder against the symphysis Need for ancillary obstetric manoeuvres 0.15 – 2% Prolonged head to body delivery >60 seconds
- schade aan de plexus brachialis Wat zijn de mogelijke gevolgen ?? - asphyxie - schade aan de plexus brachialis
navelstreng pH 0.04 E/min bij volledige occlusie 7.30 7.00 7.5 minutes daalt met 0.04 E/min 7.30 7.00 7.5 minutes
Brachiale plexus
Dejerine-Klumpke parese Erb-Duchenne parese Waiter’s tip Deformity Dejerine-Klumpke parese Claw hand upper brachial plexus lower brachial plexus C5-C6-(C7) C7, C8, T1 Lateral flexion of neck against fixed shoulder Arm forced upwards Arm adducted and internally rotated Forearm pronated Wrist flexed Finger function and grasp relex are nl Moro and biceps reflexes absent Hand intrinsic muscle weakness Grasp reflex absent Biceps and radial reflexes present Upper part of arm unaffected Horner’s syndrome associated (if T1 sympathetic fibers affected)
diagram of Erb-Duchenne palsy
diagram of Klumpke's palsy
Brachiale plexus Tear = afscheuren AVULSION RUPTURE NEUROMA Stretch = NEUROPRAXIA
associated conditions - Phrenic nerve palsy - Horner’s syndroom, if the T1 root is affected, interruption of sympathetic innervation at that level
therapy - Some may heal without therapy - Some recover within within 3-4 months - Some require physical therapy - Some require surgery
maneuvers bij shouder dystocia Zavenelli HELPERR Rubin’s Woods’ screw ulp erbij halen valueer de episiotomie egs = McRoberts maneuver HELPERR (supra)-pubische druk Rubin’s Woods’ screw reversed Woods’ screw nter = interne maneuvers emove achterste arm ol de parturiente tot knie-hand steun Zavenelli
L egs Mc Roberts maneuver solves 40% of all shoulder-dystocia problems
P ubis supra-pubische druk
E digitale rotatie nter Rubin’s maneuver Woods’screw maneuver
remove de achterste schouder R emove
R oll-over
clavicula fractureren Zavanelli’s maneuver symfysiotomie