7- The root level(s) and severity of injury ultimately determine the clinical picture and, in part, the outcome as a child ages ,The older child with BPP involving the upper trunk typically has difficulty with active shoulder abduction, forward flexion, symmetrical elbow flexion, forearm supination and shortening of humerus. We treat this case by humeral lengthening and elbow extension in one stag.

 

حالات الشلل الاربي نتيجه اصابه اعصاب الضفيره العصبيه قد ينتج عنها قصر عظمه العضد و محدوديه الحركه بفصلي الكتف والمرفق و يتم علاج تلك الحالات بوسطه اطاله عظمه العضد مع فرد المرفق في عمليه جراحيه من مرحله واحده