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Erb Palsy Prognosis — RACP Paediatrics MCQ

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EasyNeonatologyErb Palsy PrognosisRACP Paediatrics

A term neonate with an Erb palsy (C5-C6 brachial plexus injury) is examined at 1 week. The affected arm is adducted and internally rotated at the shoulder, extended at the elbow, and pronated at the forearm ('waiter's tip' position). What percentage of Erb palsies recover spontaneously?

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Correct answer: D — 70-90%

Approximately 70-90% of Erb palsies recover spontaneously by 3-6 months. Initial management is physiotherapy to maintain range of motion. Microsurgical nerve repair is considered if there is no biceps function by 3-6 months. Klumpke palsy (C8-T1) has a worse prognosis.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Birth Injuries