Brachial Plexus Birth Injuries

What Is a Brachial Plexus Birth Injury?

The brachial plexus is a network of nerves controlling movement and sensation in the arm. During difficult deliveries, these nerves can be stretched or torn, resulting in weakness or paralysis — known as Erb's palsy or neonatal brachial plexus palsy.

Evaluation

Dr. Letzelter evaluates infants with brachial plexus injuries at Children's National Hospital, using serial examinations, EMG/nerve conduction studies, and MRI.

Treatment

Mild cases recover with therapy. Severe injuries may benefit from early microsurgical nerve reconstruction. Older children may benefit from tendon transfers to improve arm and hand function. Dr. Letzelter has published peer-reviewed research on outcomes in this patient population.

Dr. Letzelter sees patients in Fairfax VA, Friendship Heights DC, and Children's National Hospital.