Patient's question:
A 7-month-old child has limited right arm mobility compared to the left arm. The right hand rarely actively grasps objects, while the left hand can grasp and play. Currently, the child is being treated at Xinxiang Children's Hospital through electrotherapy, rehabilitation, and closed-loop injections. They have received 5-6 closed-loop injections so far, and rehabilitation has been ongoing for nearly half a month. While there has been some improvement in raising the right arm, there has been no progress in the right hand's ability to grasp objects.Doctor's answer:
Based on your description, there were signs of hypoxia during the child's birth process, which resulted in a lower score at birth and poor respiratory function. I wonder if there was any pulling of the right arm during the delivery process? If so, combined with the child's current condition, it could be diagnosed as a brachial plexus injury. From birth to now, it has been 7 months, and during this time, there has been some improvement in the movement of the right hand and arm after treatment. Personally, I believe that the conservative treatment you mentioned can still be continued. During the treatment process, the effectiveness should be compared monthly. If there is progress, continue the treatment. If there is no progress, further examination or consultation with a higher-level hospital for treatment may be necessary. Additionally, it is necessary to observe the movement of the child's lower limbs and please monitor the intellectual development.