Erb palsy due to birth injury (a draft of the clinical recommendations)

The article presents a draft of clinical recommendations for the diagnosis and treatment of Erb palsy in birth injury. These recommendations are intended for physicians of maternity hospitals and are aimed at providing information support for decision-making by a doctor in the event of a birth injury, as well as improving the quality of medical care to a patient. The recommendations correspond to the latest scientific data on the topic, and also contain information that is of an applied nature for practical activities. These practical recommendations are offered for public discussion and are posted in full on the website of the Ministry of Health of the Russian Federation. The recommendations contain an information note on Erb palsy in birth injury, including the definition, etiology and pathogenesis of the disease. Three types of classification of generic traumatic lesions of the brachial plexus are presented: by prevalence, by severity of nerve damage and by severity of paresis. The clinical features of the disease are considered in detail. To diagnose the disease, an algorithm of physical examination is proposed, and the use of instrumental research methods: MRI, ultrasonic, X-ray and electromyographic studies. Recommendations for the conservative treatment of pathology and the use of physiotherapy and rehabilitation techniques are given. An algorithm of the doctor’s actions and an information certificate about the disease are proposed to inform the patient’s parents. The recommendations are given taking into account the level of credibility of the recommendations and the level of reliability of the evidence.