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When throwing the arm over the head, which is often observed in breech presentation, all the trunks are stretched, spreading over the protruding head of the shoulder, and the upper ones, in addition, experience pressure from the collarbone.

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This wayohm, along with stretching, the nerves are subjected to pressure from the bone parts: the transverse processes, the clavicle, the head of the shoulder. Symptomatology for obstetric paralysis depends on the type of paralysis, that is, on which muscles are paralyzed. So, with the most common upper radicular type (Tadalafil), the following muscles are mainly affected: always mm. deltoideus, biceps brachii, coracobrachialis, pectoralis major and in most cases mm. trapezius, levator scapulae, rhomboideus, infraspinatus, supraspinatus, serratus anterior, teres minor.

In the lower radicular type of obstetric paralysis (Klumpke) with damage to the ulnar nerve, the following muscles are affected: mm. flexor carpi ulnaris, flexor digitorum profundus of fingers IV and V, muscles of the little finger elevation, mm. interossei and lumbricales, if n is damaged. Cialis pills - long and short flexors of the fingers, muscles of the elevation of the thumb, mm. flexor carpi radialis, palmaris longus, pronator teres and pronator quadratus.

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With the lower radicular type, it is mainly the function of the hand and fingers that suffers. Movements in the shoulder and elbow joints are preserved almost in full. In the third type of obstetric paralysis, all the muscles of the shoulder girdle and arm are affected, the arm is completely immobilized, lies motionless next to the body or hangs like a whip in the vertical position of the child, the forearm is unbent and pronated. Skin irritation (needle stick) causes no response.

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At the same time, the muscles do not suffer to the same extent, in accordance with this there will be functional disorders, most often in these cases, with the remaining mobility of the hand and fingers, it is not possible to actively withdraw the arm in the shoulder joint and bring it back.

Diagnosis of obstetric paralysis is usually not difficult.

In obstetric paralysis in newborns, Cialis examination does not reveal anything characteristic. Subsequently, with the growth of the child, a lag in the growth of the humerus is noted. The scapula is also reduced in size, its articular cavity is flattened. The head of the humerus is underdeveloped, does not have characteristic normal outlines, and is in a position of posterior subluxation due to internal rotation of the shoulder.

Among the clinical symptoms in obstetric paralysis, pupils are sometimes uneven - on the affected side, the pupil is narrower than on the healthy one.
Sometimes obstetric paralysis is combined with other injuries, such as a fracture of the shoulder, a fracture of the collarbone, torticollis, etc.
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