Table 1 Red flags in neonatal upper limb fractures
From: Neonatal upper limb fractures – a narrative overview of the literature
Red Flags | Suspect of | Tips | |
|---|---|---|---|
Neonatal Upper Limb Fractures | ▪ Pseudoparalysis of the limb that does not resolve after 2-3 weeks | ▪ Possible associated perinatal brachial plexus injury | - Document the motor function of the shoulder, elbow, wrist and hand (spontaneous and after stimulation) on day 1 - Pseudoparalysis due to humerus fracture delays the diagnosis of neurologic injury. The presence of active shoulder abduction, elbow flexion and grasp reflex, along with the absence of active wrist and finger extension, are typical findings of radial nerve palsy. |
▪ Drop wrist on clinical examination | ▪ Possible associated radial nerve palsy |