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Klumpke's birth palsy. Does it really exist?

M M al-Qattan1, H M Clarke, C G Curtis

  • 1Section of Plastic Surgery, Hospital for Sick Children, Toronto, Ontario, Canada.

Journal of Hand Surgery (Edinburgh, Scotland)
|February 1, 1995
PubMed
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Klumpke's palsy, a rare birth injury affecting the brachial plexus, occurs in 0.6% of obstetric brachial plexus injuries. This study investigates its distribution in modern obstetric practice.

Area of Science:

  • Neurology
  • Pediatrics
  • Obstetrics

Background:

  • Erb's palsy is the most common obstetric brachial plexus injury.
  • The current distribution of Klumpke's birth palsy under modern obstetric practices is not well-documented.

Purpose of the Study:

  • To determine the incidence and distribution of Klumpke's birth palsy.
  • To analyze Klumpke's palsy cases within a series of obstetric brachial plexus injuries.

Main Methods:

  • Retrospective review of 235 consecutive cases of obstetrical brachial plexus injury.
  • Analysis of the distribution of Klumpke's birth palsy within the studied cohort.

Main Results:

  • Klumpke's birth palsy was identified in the series.

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  • The incidence of Klumpke's birth palsy was determined to be 0.6% based on English literature over the past decade.

    • Conclusions:

    • Klumpke's birth palsy represents a small but significant proportion of obstetric brachial plexus injuries.
    • Further research may be warranted to understand the specific factors contributing to Klumpke's palsy in contemporary obstetrics.