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  • Title: Disuse osteoporosis as evidence of brachial plexus palsy due to intrauterine fetal maladaptation.
    Author: Jennett RJ, Tarby TJ.
    Journal: Am J Obstet Gynecol; 2001 Jul; 185(1):236-7. PubMed ID: 11483934.
    Abstract:
    We report what may be overlooked evidence of the effects of intrauterine maladaptation as a cause of brachial plexus palsy. A case of total brachial plexus palsy in the posterior arm associated with Horner's syndrome and severe demineralization of the bones of the affected arm is analyzed. In this litigated case, a report of marked demineralization of the bones of the affected arm was analyzed by the plaintiff's radiology expert as diagnostic of disuse osteoporosis. The presence of clear-cut evidence of disuse osteoporosis during the early neonatal period is compelling evidence of an intrauterine onset of brachial plexus palsy.
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