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Las bombas helicoidales FL--ERBS han sido disenadas especificamente para el bombeo de fluidos que requieran un especial cuidado en su trasiego. Much research into the field of brachial plexus injuries has shown that a majority of patients who suffer these injuries (approximately 80%) will recover function to their arms without need for surgical intervention. Diagnosis of a brachial plexus injury is usually made when examining a newborn who cannot move his or her upper extremity.
This entry was posted in Nervous system, Trauma and tagged Brachial Plexus, erb, erb's, Erb's Palsy, Injury, palsy, photo.
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When a child has a suspected injury, it is critical that her or she be evaluated by an expert to attempt to determine the extent and location of the injury. These patients have internal rotation and adduction of the shoulder, elbow extension, forearm pronation, and wrist flexion. The least severe injury occurs when a nerve is stretched without causing a tear in either the axon or the sheath that covers the nerve. However, most experts in the field agree that the cause is due to excess lateral traction (pulling) on the head of the infant away from the shoulder during the birthing process. If certain milestones in functional recovery are met, these patients may need only therapy and strengthening exercises to recover completely.


Other signs such as a Horner's Syndrome, facial palsy, hoarseness, and difficulty breathing may also help in assessing the extent of the injury.
A global injury involves the C5-T1 nerve roots where the patients present with a completely flail limb and claw hand.
This is a neuropraxic injury and will allow a faster recovery that may not require surgical intervention. The traction causes varying injuries to the nerve roots that can cause an interruption in nerve signals.
However, 20% of patients who do not recover function to certain muscle groups will require surgery. An avulsion, the most severe injury, occurs when the nerve root has been avulsed, or torn from the spinal cord. Our experience has shown that when that surgery is done early, patients recover more function. Experience has taught us that primary nerve graft surgery is not useful to correct avulsions. It is therefore very important that when a patient is diagnosed with a brachial plexus injury that the patient be evaluated as soon as possible by an experienced team.



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