Birth Brachial Plexus Injury: Management of Shoulder Subluxation/Dislocation
Clinical Pathways promote evidence based, safe, and high-value care for patients by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject matter experts, informed by a methodical review of available evidence and consensus among committee members.
Clinical Pathway:
- BBPI: Management of Shoulder Subluxation/Dislocation Algorithm
- BBPI: Management of Shoulder Subluxation/Dislocation Synopsis (provides standards employed for this Clinical Pathway)
Inclusion and Exclusion Criteria:
Inclusion:
- Infants with a diagnosis of BBPI
- ≥ 3 months of age to 12 months of age
Exclusion:
- Infants ≥ 3 months of age with a fully resolved birth brachial plexus injury
Committee members involved in the development:
Christine Cheng, MD, MPH | Orthopedic Surgery | Committee Co-Chair
Kimberly Hartman, MD, MHPE | Rehabilitation Medicine | Committee Co-Chair
Kay North, DO | Radiology | Committee Member
Stacey Weaver, BSRT (R)(M), ARDMS (ABD)(OBGYN)(VAS) | Radiology | Committee Member
EBP Committee Members:
Todd Glenski, MD, MSHA, FASA | Anesthesiology, Evidence Based Practice
Andrea Melanson, OTD, OTR/L | Evidence Based Practice
Publication dates:
Finalized date: 11/2023
Next expected revision date: 11/2026
If you have any questions regarding this content or identify a broken link, please email evidencebasedpractice@cmh.edu.
These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.