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Updated: May 29, 2025
The attitude may be that of the Erb-Duchenne type, or the whole of the muscles of the upper limb may be flaccid, and the arm hangs powerless. A considerable proportion of the cases recover spontaneously. The arm is to be kept at rest, with the affected muscles relaxed, and, as soon as tenderness has disappeared, daily massage and passive movements are employed.
The prognosis is less favourable in the supra-clavicular lesions than in those below the clavicle, which nearly always recover without surgical intervention. In the brachial birth-paralysis met with in infants, the lesion is due to over-stretching of the plexus, and is nearly always of the Erb-Duchenne type.
The upper-arm type Erb-Duchenne paralysis is that most frequently met with, and it is due to a lesion of the fifth anterior branch, or, it may be, also of the sixth.
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