Tibial Torsion can be an internal or external rotation on the tibia in relation to the femur. Internal tibial torsion is an inward twisting of the tibia bone, which leads to …show more content…
This event can stretch the brachial plexus damaging the nerves. Erb’s Palsy or waiter’s tip is the most common brachial plexus injury; it’s a paralysis of the arm cause by an injury of the upper arm main nerves, mainly C5-C6. With Erb’s palsy the affected arm may be limp, held against the side of the body, and bent at the elbow. Infants with this injury have an absence of the more and tonic neck reflexes. The condition is usually not permanent and recovery can take up to several months. Klumpke’s palsy or claw hand involves an injury to C8-T1. Symptoms include paralysis to hand muscles, flexors of the wrist and fingers. Their hand is paralyzed and has an absent grasp reflex which causes a “claw hand deformity”. It is rare to have an isolated klumpke’s syndrome. With both of these conditions is very important to encourage the child to perform developmental activities. Physical therapy plays a very important role and it should begin as soon as possible after diagnosis or surgery, and before joint or muscle tightness has developed. Physical therapists work with children with brachial plexus injury to prevent or reduce joint contractures, maintain or improve muscle strength, adapt toys or activities to promote movement and play.
In conclusion Tibial Torsion, Fragile X, and Brachial Plexus injuries (Erb’s and klumpke’s palsy have a traumatic effect on the patients and their loved ones. Something all these pathologies have in common is the stress they put on the patients families. It is extremely important that families receive the most accurate information in order to help provide the best care