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Brachial Plexus Clinic

Kennedy Krieger Institute • 801 North Broadway • Baltimore, MD 21205

Medical Director

Frank Pidcock, M.D.

Co-Directors:

Allan J. Belzberg, M.D.
Neurosurgeon, Brachial Plexus Clinic - Kennedy Krieger Institute
Associate Professor of Neurosurgery - Johns Hopkins Hospital

Thomas M. Brushart, M.D.
Orthopaedic Surgeon, Brachial Plexus Clinic - Kennedy Krieger Institute
Professor of Orthopaedic Surgery - Johns Hopkins Hospital

Richard J. Redett, M.D.
Plastic/Reconstructive Surgeon, Brachial Plexus Clinic - Kennedy Krieger Institute
Assistant Professor of Plastic Surgery, Pediatrics and Pediatric Surgery - Johns Hopkins Hospital

About Our Program:

Who we are

The Brachial Plexus Clinic at Kennedy Krieger Institute is one of the few clinics in the country that offers multidisciplinary services and innovative techniques for the treatment of brachial plexus injuries and peripheral nerve problems affecting infants, children and adults.  We see patients who may have either birth-related or traumatic brachial plexus injuries.

Who We Serve

A brachial plexus injury is an injury to the brachial plexus — a system of nerves that controls the movement of your shoulder, arm and hand. A brachial plexus injury occurs when these nerves have been stretched or even in some cases, torn. These types of injuries are common in contact sports, falls, or auto accidents, but can also occur during an infant’s birth. 

We see patients who may have or suspected of having:

  • Neonatal (birth-related) brachial plexus palsy
  • Traumatic brachial plexus palsy in older children or young adults
  • Erb's palsy
  • Peripheral nerve tumors
  • Idiopathic and other nerve conditions

Adults with a history of neonatal brachial plexus palsy can also benefit from our interdisciplinary approach to assess and, in many cases, improve long-term impairments such as stiffness, over-use syndrome and long-standing compensation.

Our Team

Each patient is thoroughly evaluated and treated by our team of specialists with extensive experience in areas such as Neurosurgery, Pediatric Orthopedic Surgery, Plastic and Reconstructive Surgery, Occupational Therapy and Pediatric Rehabilitation Medicine.  The clinic is staffed by:

Our Approach

Evaluation

Early intervention is the key to regaining function, since brachial plexus injuries could result in permanent impairments if not treated as soon as possible.  Our entire team of specialists evaluates each patient to determine the extent of the injury.  The evaluation could also include diagnostic tests such as x-rays, electro-diagnostic studies, MRIs or CT scans. 

Treatment for a brachial plexus palsy

After the comprehensive evaluation, each patient receives a customized treatment and therapy program designed to maximize nerve and functional recovery.  Follow-up care continues to be provided by the treatment team.

It is difficult to estimate the rate of spontaneous recovery due to the diversity and complexity of these palsies. The potential for spontaneous recovery depends mostly on the severity. Therefore, prognosis must be assessed for each patient individually based on the type and severity of their palsy, and the progression of any spontaneous recovery that may be occurring.

  • Non-surgical Treatment Options - Occupational therapy and physical medicine are always part of the recovery process.  The Kennedy Krieger Institute not only offers traditional therapies but also the opportunity to receive intensive activity-based restorative therapies (ABRT) to maximize the recovery and neurodevelopmental processes which lead to function and development of adequate and efficient motor patterns.
  • Surgical Treatment Options - The degree of functional impairment and potential for recovery depends on the mechanism, type, complexity of the brachial plexus injury, and time from injury. The most important decision your surgeons will make is determining if and when surgical intervention should occur.
  • Patient Quotes  
    •  “We had a wonderful experience at the Brachial Plexus Clinic at Kennedy Krieger.  The doctors were very insightful of our daughter’s injury and guided us in the right direction.  They answered all of our questions in great detail and made us more comfortable with the potential outcome.”
    •  “I would recommend Kennedy Krieger to anyone with a brachial plexus injury for occupational therapy as well as the Brachial Plexus Clinic they offer. We had a wonderful experience at Kennedy Krieger Institute.”

Schedule your initial appointment:

We welcome your questions and referrals. To schedule an appointment, for more information about a referral or evaluation, or to speak to someone by phone, please contact:

Care Management Office
Toll-free Referral: (888) 554-2080
Local Referral: (443) 923-9400
 


Change your appointment date/time or schedule a follow-up appointment:

To reschedule an appointment or to schedule a follow-up appointment, please call the Medical Care Center at (443) 923-2600.

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