In 1877, erb described obstetrical paralysis of the proximal brachial plexus, which now carries his name 6. Brachial plexus injuries interfere with the network of nerves that sends impulses from the spine to the shoulder, arm, and spine. Klumpke palsy klumpke, an obstetric palsy with paralysis of the muscles of the distal forearm and hand all ulnar innervated muscles, plus the more distal radial and medianinnervated muscles, caused by a lesion of the lower trunk of the brachial plexus, or of the c8 and t1 cervical roots. A form of brachial plexus palsy in which there is paralysis of the muscles of the forearm and hand due to an injury to the roots of eighth cervical and first thoracic roots or the lower part of the brachial plexus, a network of spinal nerves that originates in the back of the neck, extends through the axilla armpit, and gives rise to nerves to the upper limb. Erbs palsy contrasted with klumpkes and total palsy. When injury occurs to the lower portion of the brachial plexus, it can result in a condition known as klumpke s palsy. Klumpke s palsy is by injury to lower trunk of brachial plexus. Klumpkes paralysis is a variety of partial palsy of the lower roots of the brachial plexus. The difference between erbs palsy and klumpkes palsy. The brachial plexus is a group of nerves between the neck and shoulder that send signals to nerves in the arm it is responsible for movement and feeling in the arms, hands, and fingers. This type of injury affects newborn babies and results because of an injury to the brachial plexus where the first thoracic nerve and the eighth cervical nerve is affected. Erbs palsy is an injury to the upper brachial plexus c5, c6 resulting from excessive separation or stretch of the neck and shoulder such as from a sliding injury or from pulling on an infants neck during delivery. Injuries to this area, also known as lesions, can cause severe functional impairment moore, 2007. Erbduchenne and dejerineklumpke palsies information page.
What is the difference between erbs palsy and klumpkes. Klumpke s palsy is said to account for less than 1% of all brachial plexus. The brachial plexus is a network of nerves that conducts signals from the spine to the shoulder, arm, and hand. The brachial plexus is a network of spinal nerves that originates in the back of the neck, extends through the axilla armpit, and gives rise to nerves to the upper limb. Erbs palsy is an injury to the upper brachial plexus c5, c6 resulting from excessive separation or stretch of the neck and. Klumpke paralysis is a neuropathy of the lower brachial plexus which may be resulted from a difficult delivery1. This video is all about klumpkees palsy its causes, clinical features and management. Klumpke palsy, named after augusta dejerine klumpke, is a neuropathy involving the lower brachial plexus. Klumpke s paralysis is a form of paralysis involving the muscles of the forearm and hand, resulting from a brachial plexus injury in which the eighth cervical c8 and first thoracic t1 nerves are injured either before or after they have joined to form the lower trunk.
Brachial plexus injuries are caused by damage to those nerves. Klumpke s palsy, also known as dejerine kumpke palsy, is a medical condition where injury to the brachial plexus, specifically the severing of the lower. Though some of the patients other symptoms suggested erbs palsy, dejerine klumpke could find no reason for the miosis. Results from a brachial plexus injury in which c8 and t1 nerves are injured. Klumpke s palsy is a rare form of paralysis involving the muscles of the forearm and hand, resulting from a brachial plexus injury in which the eighth cervical c8 and first thoracic th1 nerves. Birth injury erbs palsy or klumpkes palsy illinois medical malpractice lawyer. A paralisia refere a paralisia quando o plexo braquial for a rede dos nervos na. She was the first female intern to work in a hospital in paris. Most types of brachial plexus injuries affect the shoulder and upper arm.
Klumpkes palsy risk factors clinical features prognosis. Birth injury erbs palsy or klumpkes palsy illinois. There are references to this condition back to the the old testament, and galens histories. She is well known for her innovative contributions to neurology and neuroanatomy. However, if there is an alternate mnemonic for our postings, you can use the comments link below the post. It is used to denote motor weakness due to nerve lesions. Klumpke paralysis affects the movement of the lower arm and hand. She is known for klumpke s radicular palsy, which is a neuropathy involving the lower nerve roots of the brachial plexus. Epidemiology the incidence of klumpke palsy is estimated at around 0. The results formed the basis for her first research paper on brachial plexus palsy, which was published in 1885 and awarded the godard prize of the french academy of medicine in 1886. Upper limb orthoticsbrachial plexus lesion klumpke s palsy. Klumpke s palsy, also known as klumpke s paralysis or dejerine klumpke palsy, is a brachial plexus injury that usually affects newborns as a result of a birth injury. Klumpke s paralysis is a variety of partial palsy of the lower roots of the brachial plexus.
Our committee will scrutinize your mnemonics and publish it, if it meets the standards. An ulnar nerve palsy involves the ulnar nerve after it has separated from the brachial plexus at any point during its course. Cerebral palsy, erbs palsy and klumpke s palsy have some things in common. Klumpke s palsy is a rare form of paralysis involving the muscles of the forearm and hand, resulting from a brachial plexus injury in which the eighth cervical c8 and first thoracic th1 nerves are injured either before or after they have. Few physicians are aware that klumpke palsy or lower brachial plexus palsy was named by a woman. Klumpkes palsy causes, symptoms and treatment options. From a young age, klumpke s family was supportive of her medical ambitions, going as far as to move to paris so she and her sisters anna elizabeth klumpke, julia klumpke, and dorothea. Klumpkes paralysis free download as powerpoint presentation. Klumpke paralysis genetic and rare diseases information center. If your child was born with either klumpke s or erbs palsy in san antonio, it is important to contact an experienced attorney right away. Erbduchenne erbs palsy refers to paralysis of the upper brachial plexus.
The nervous tissue that is injured may be in the brain, the spinal cord, or in the muscles themselves. Klumpke palsy is a form of brachial plexus injury usually observed in newborns following birth trauma. The authors report a case of klumpke s birth palsy in an infant born by emergency cesarean section. A palsy is a full or partial paralysis and can come in many forms.
First, they all involve palsy, or paralysis of some type. Studies of the forces involved in brachial plexus injury in adults and. Upper limb orthoticsbrachial plexus lesion klumpkes palsy. Klumpkes palsy is a rare form of paralysis involving the muscles of the. Affects, principally, the intrinsic muscles of the hand and the flexors of the wrist and fingers. Caused by blow to or fall on shoulder from motorcycle or horse and difficult child birth. Horners syndrome, symptoms of which include a drooping eyelid, may be present with klumpke s palsy on the affected side due to the involvement of the sympathetic nerve fibers that traverse t1.
In more severe cases, if the time to surgical correction is less than 6 months, there is a greater prognosis for muscular recovery. This occurs when the nerve is completely torn away from the spinal cord, which cannot be reattached. This injury can cause a stretching neuropraxia, tearing called avulsion when the tear is at the spine, and rupture when it is not, or. This video mentions the characteristic features of the 2 most important upperlimb palsies for step1. Birth injury, klumpkes palsy, obstetric brachial plexus palsy. Obstetric brachial plexopathy erbs, klumpke s palsy the nerves will heal, but most are mild cases. Klumpke s palsy, sometimes called dejerine klumpke palsy, involves damage to the nerves which supply the small muscles of the hand.
Klumpke palsy, also known as klumpke paralysis, is a type of lower brachial plexus injury that affects brachial plexus injury at birth. Pdf klumpke palsy, named after augusta dejerineklumpke, is a neuropathy involving the lower brachial plexus. By 15 months after surgery, digital flexors recovered almost fully and the claw deformity of the fingers improved. Download as ppt, pdf, txt or read online from scribd. Klumpkes palsy is a form of brachial plexus injury in which there is paralysis of the muscles of the forearm and hand due to an injury to the roots of the 8th cervical and the 1st thoracic nerve roots. Of 3,508 cases of brachial plexus palsy, they found 20 cases 0. Usually the eighth cervical and first thoracic nerves are injured either before or after they have joined to form the lower trunk. Like erbs palsy, klumpkes palsy is always caused by. Nerve supply to the arm and hand comes from what is known as the brachial plexus, a network formed from nerve roots in the spinal cord. Whats the difference between cerebral palsy, erbs palsy. Klumpke paralysis genetic and rare diseases information. Klumpke, the wife of joseph jules dejerine, an eminent french neurologist, was an american and the first woman to intern in a parisian hospital. Augusta klumpke born in san francisco, educated in europe, and later married to the french neurologist, dejerinewas the first to describe and elucidate mechanisms of lower brachial plexus palsy.
Of the cluster of five nerves that make up the brachial plexus, if the lower two are damaged, the resulting condition is called klumpkes palsy, a disorder which affects roughly 200,000 people in the us. In 1885, klumpke reported the first description of an. Klumpke paralysis is a rare type of birth injury to the nerves around a newborns shoulder, known as the brachial plexus. Erbs palsy is caused by injury to upper trunk of brachial plexus. While initially born with a flail limb, the child regained elbow flexion at 10 weeks.
Basic anatomy question, i am guessing just because klempkes involves cutaneous nerves as well, meaning you would lose some sensation in your armforearm. Klumpke palsy is caused by klump,e the c8 and t1 nerves when the arm is extended above the shoulder in an exaggerated way. Obstetric brachial plexopathy erbs, klumpkes palsy. Dejerine klumpke klumpke s palsy refers to paralysis of the lower brachial plexus. Unique features of the case include the combination of klumpke s palsy and horner syndrome, and the partial correction of the deformity by early surgical exploration of the brachial plexus. Klumpke s paralysis or klumpke s palsy or dejerine klumpke palsy is a variety of paksy palsy of the lower roots of the brachial plexus. Pdf klumpkes palsy is a rare form of paralysis involving the muscles of the. A case of klumpkes obstetric brachial plexus palsy. Palsy is a medical term for types of paralysis or partial paralysis that involve different parts of the body and may have different causes.
Palsy refers to paralysis while brachial plexus is the network of nerves in. Klumpke paralysis article about klumpke paralysis by the. It is caused by an injury to the first thoracic nerve t1 and the eighth cervical nerve c8, all of which come from the spinal cord. Klumpke s palsy is one of several brachial plexus injuries. We present a case of isolated lower brachial plexus palsy with the presumed diagnosis of klumpke palsy. Klumpkees palsy causes, clinical features and management. Pdf download for evaluation of a patient with klumpkes palsy open. Erbduchenne and dejerine klumpke are palsies of the brachial plexus. The final cause of erbs and klumpke s palsies is an avulsion. Klumpkes palsy definition of klumpkes palsy by medical. Dejerineklumpke palsy definition of dejerineklumpke. Both erbs and klumpke s involve the brachial plexus, which is a network of nerves that begin at the spinal cord in the neck and control a persons hand, wrist, elbow, and shoulder.