Obstetric brachial plexus palsy: increasing disability and exacerbation of symptoms with age

People with congenital conditions such as obstetric brachial plexus palsy (OBPP), sometimes known as Erb's palsy, may experience adverse effects as a result of compensatory strategies adopted to achieve improved function. Anecdotal evidence suggests that problems do occur in adult life but little is known about the type and extent of problems experienced, nor whether they are similar to those with other conditions involving movement dysfunction.

A survey of adults with OBPP to determine problems currently experienced. Subjects were members of the Erb s Palsy Group UK.

Forms were sent to all adult members of the group (n = 61), and replies were received from 36 (59%). The majority of the sample reported many problems, including pain, impaired sensation, arthritis and limitation of function, which interfered with activities of daily living.

In the present small sample, most adults with OBPP reported experiencing many difficulties, some similar to those experienced by others with movement dysfunction. The topic warrants further investigation, both in terms of avoiding these problems where possible and, when complications occur, considering how they can best be managed.