The reason for the loss of normal motor abilities by one arm, including flexion and extension in the joints, the decrease of its sensitivity may be the Erba-Duchesne paresis. This pathology was first described in 1872 by two neurologists from France and Germany, whose names became the name of paralysis. More often it occurs in newborns, being an obstetric injury, but sometimes it is diagnosed and in adulthood.
How does the Erba-Duchesne paresis occur in adults?
Usually the disease described is a consequence of severe mechanical damage to the hand. In adults, the paresis of the upper trunk of the shoulder joint of Erba-Duchesne may be for the following reasons:
- severe bruise on a solid immobile object;
- fall from height to hand;
- a deep penetrating cut wound in the region of the brachial plexus;
- hit a heavy object on the shoulder (top);
- gunshot wound;
- sharp stretching of the arm (traction by the hand).
Against the background of these injuries, a partial or complete rupture of the superior trunk of the brachial plexus occurs.
Treatment of Erba-Duchesne's paresis
Therapy of the pathology under consideration provides for:
1. Immobilization of the hand with a special tire.
2. Drug treatment:
- painkillers;
- anti-inflammatory;
- antispasmodics ;
- anticholinesterase drugs;
- drugs that improve metabolism in the tissues of nerves;
- resorptive and other medications.
3. Physiotherapy:
- a lamp of Sollux;
- electrostimulation;
- UHF currents;
- electrophoresis;
- ozocerite applications;
- paraffinotherapy .
4. Massage.
5. Medical gymnastics.
6. Reflexotherapy.
In the absence of positive changes as a result of conservative treatment, the patient is referred to a neurosurgeon to consider the possibility of an operative intervention.
The consequences of the Duchesne-Erba paresis
In most cases, it is possible to almost completely restore the function of the damaged limb and restore its mobility, especially with partial rupture of the brachial plexus. Disability occurs very rarely, as a rule, if adequate therapy has not been carried out.