AccessPT Channel, Weekly Physical Therapy Conundrum

PT Question of the Week - Neonatal Injury

You are working in the neonatal nursery where a two-day-old infant is referred following a breach delivery and appears to limply hang her right upper extremity adducted to her side and her right forearm held in pronation. The baby, a firstborn, weighed 8 pounds at birth, scored 6 on the Apgar test initially, and then 7 five minutes later. Radiographs have ruled out any clavicle or shoulder fracture. What is the MOST likely diagnosis for this infant's condition?

1. Flaccid hemiplegia due to a traumatic brain injury

2. Shoulder Dystocia

3. Thoracic outlet syndrome

4. Spastic hemiplegia due to a traumatic brain injury

The correct answer will be posted in a few days.