Duchenne - Arba paralysis

Duchenne - Arba paralysis - paralysis of the muscles of the shoulder girdle and shoulder and violation of sensitivity on the outer surface of the shoulder, emerging as a result of defeat top divisions of the brachial plexus. Etiology: injury, infection, less osteochondrosis of the spine (see). Often brachial plexus damaged during delivery, when the obstetrician introduces a finger under his arm fruit for the liberation of plocica, when forceps delivery sharp turns of the head of the fruit. The disease is manifested by pain in the shoulder and shoulder girdle, swelling of the shoulder joint. Motion at the shoulder joint is limited or impossible. Hand turned inward, bending forearm broken, may develop subluxation of the shoulder joint. At injury with full gap roots restore movement is not observed, can appear kaupallisessa pain (see Causalgia).
Treatment. Immobilization hand on the scarf, shoulder massage, a local heat, inside analgin, amidopyrine (pyramidonum), antipyrine in normal doses. From the second week of paralysis physiotherapy, medical gymnastics, injections of vitamins B1 (5% solution of 1 ml intramuscularly), B12 (200 mg intramuscularly), prozerina (0.015 g 2-3 times a day). At injury required hospital treatment.
Cm. also Degerin-Klumpke paralysis.