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Klumpke's Paralysis

Epidemiology
1. Least common form of Brachial Birth Trauma
Pathophysiology
1. Injury to C7, C8, and T1 spinal nerves
Signs: Clawhand deformity
1. Hand Intrinsic Muscle Weakness
2. Grasp reflex absent on affected side
3. Biceps reflex and radial reflex present
4. Horner's Syndrome may be associated
  1. Occurs if T1 sympathetic fibers are affected
5. Upper part of arm unaffected
References
1. Goetz (1999) Neurology, Saunders, p. 259
2. Bower (2001) Clin Fam Pract 3(2):401

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 5/10/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.