Klumpke paralysis

What is the typical prognosis (chance of recovery) for children with Klumpke paralysis?

The prognosis of infants and children Klumpke paralysis will depend on the severity of the injury, the time of onset, and initial (early) rate of improvement. For torn nerves (avulsion and rupture injuries), there is no potential for recovery unless surgical reconnection is made in a timely manner. Most individuals with neuropraxia injuries recover spontaneously with a 90-100% return of function. It is estimated that up to 88% of infants recover by 4 months, and 92% by 12 months.

Last updated on 05-01-20

How might Klumpke paralysis be treated?

The affected arm may be immobilized across the body for 7 to 10 days. For mild cases, gentle massage of the arm and range-of-motion exercises may be recommended. For torn nerves (avulsion and rupture injuries), symptoms may improve with surgery.

Most infants recover from the stretch injuries (neuropraxia). After 4 months, additional treatment options may include:

  • Surgery on the nerves (e.g., nerve grafts and neuroma excision)
  • Tendon transfers to help the muscles that are affected by nerve damage work better

Last updated on 05-01-20

Selected Full-Text Journal Articles

Klumpke paralysis

Ruchelsman DE, Pettrone S, Price AE, Grossman J. Brachial Plexus Birth Palsy: An overview of early treatment options. Bulletin of the NYU Hospital for Joint Diseases. 2009;67(1):83-9.

Last updated on 04-27-20

Name: National Rehabilitation Information Center 8201 Corporate Drive, Suite 600
Landover, MD, 20785 , United States
Phone: 301-459-5900 TTY: 301-459-5984 Toll Free: 800-346-2742 Email: naricinfo@heitechservices.com Url: http://www.naric.com/
Name: United Brachial Plexus Network, Inc. 1610 Kent Street
Kent, OH, 44240 , United States
Phone: 866-877-7004 Fax : 844-221-2821 Url: http://www.ubpn.org
Abzug JM, Kozin SH. Evaluation and management of brachial plexus birth palsy Orthop Clin North Am. 2014; 45(2). 225-32. Reference Link O’Berry P, Brown M, Phillips L, Evans SH. Obstetrical brachial plexus palsy Curr Prob Pediatr Adolesc Health Care. 2017; 47(7). 151-155. Reference Link Smith K and Patel V. Congenital brachial plexus palsy Paed Child Health. 2016; 26(4). 152-156. Reference Link

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