About this trial
This study will examine infants with a birth-related nerve injury called neonatal brachial plexus palsy, which can affect movement in the arm and sometimes cause the shoulder joint to shift out of its normal position (subluxation). Researchers will use ultrasound imaging to measure the shoulder joint and will compare these measurements with findings from a physical examination, to determine which clinical signs can help predict whether a baby's shoulder will develop this problem. The goal is to help doctors detect shoulder problems earlier, so that treatment can start sooner.
Eligibility criteria
Qualifiers
Diagnosis of neonatal brachial plexus injury (NBPI) between 3 months and 1 year of age
Narakas classification Group I, II, or III
Absence of nerve root avulsion
Disqualifiers
Prior shoulder surgery for NBPI
Inability to tolerate ultrasonographic examination
Concomitant musculoskeletal (e.g., torticollis, humeral fracture) or neurological disease
Bilateral NBPI
Trial design
Treatments tested in this trial
- Shoulder Ultrasonography
- Standardized Clinical Examination