Related Experiment Video
Updated: May 10, 2026
Structured Motor Rehabilitation After Selective Nerve Transfers
Published on: August 15, 2019
Isolated lower brachial plexus (Klumpke) palsy with compound arm presentation: case report
Edward P Buchanan1, Randal Richardson, Raymond Tse
1Division of Plastic Surgery, Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
Klumpke palsy has yet to be clearly documented in the newborn, because previous reports lack any description of the obstetrical history, clinical progression, or outcome. Based on a high incidence of breach presentation in the few clinical series that report Klumpke palsy, hyperabduction with arm overhead during delivery has been the presumed mechanism. We report a child with isolated lower brachial plexus palsy and Horner syndrome who presented at birth with a vertex compound arm presentation. Recognition of this condition and details of the clinical progression and outcome are important, because guidelines for management are currently not available.
Klumpke palsy has yet to be clearly documented in the newborn, because previous reports lack any description of the obstetrical history, clinical progression, or outcome. Based on a high incidence of breach presentation in the few clinical series that report Klumpke palsy, hyperabduction with arm overhead during delivery has been the presumed mechanism. We report a child with isolated lower brachial plexus palsy and Horner syndrome who presented at birth with a vertex compound arm presentation. Recognition of this condition and details of the clinical progression and outcome are important, because guidelines for management are currently not available.
