Erb's Palsy and Ptosis on Newborn Examination after Delivery Two issues here related to shoulder dystocia with difficult extraction: 1) Brachial plexus injury (C5-6) level / Erb’s palsy. - Elbow extended, forearm pronated - Upper arm adducted & internally rotated 2) Ptosis from Horner’s syndrome - Disruption of sympathetic pathway from superior cervical ganglia involvement - More common in Klumpke palsy Dr Michael Narvey @NICU_Musings #Erbs #Palsy #Ptosis #Newborn #physicalExam #pediatrics #obgyn #obstetrics #clinical #video
