Klumpke's paralysis due to birth injury
ICD-10 P14.1 is a billable code used to indicate a diagnosis of klumpke's paralysis due to birth injury.
Klumpke's paralysis is a form of brachial plexus injury that occurs during childbirth, typically resulting from excessive pulling on the arm during delivery or shoulder dystocia. This condition specifically affects the lower trunk of the brachial plexus, leading to weakness or paralysis of the hand and wrist muscles. Clinically, it manifests as a characteristic 'claw hand' posture, where the infant is unable to flex the fingers or grasp objects. The injury can also involve damage to the phrenic nerve, potentially leading to respiratory complications. Diagnosis is primarily clinical, supported by imaging studies if necessary, to assess the extent of nerve damage. Management may include physical therapy, occupational therapy, and in some cases, surgical intervention. Early recognition and intervention are crucial to optimize functional recovery and minimize long-term disability.
Detailed documentation of the birth injury, including delivery notes and neurological assessments.
Infants presenting with arm weakness after a difficult delivery, requiring evaluation in the NICU.
Consideration of potential respiratory complications if phrenic nerve involvement is suspected.
Comprehensive documentation of developmental milestones and follow-up assessments.
Pediatric follow-up for infants with Klumpke's paralysis to monitor recovery and rehabilitation progress.
Awareness of the long-term implications of brachial plexus injuries on motor function.
Used when an infant with Klumpke's paralysis requires intensive monitoring and management.
Detailed documentation of the infant's condition and interventions provided.
Neonatologists must ensure accurate coding for critical care services rendered.
Klumpke's paralysis is primarily caused by trauma to the brachial plexus during delivery, often due to excessive pulling on the arm or shoulder dystocia.
