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Goldasich, Vick, & McCartney Goldasich, Vick, & McCartney

Erb’s Palsy Lawyers in Birmingham

Trial-Ready Representation for Serious Brachial Plexus Birth Injuries

Erb’s palsy can leave a child with weakness, reduced motion, or lasting impairment in one arm after a brachial plexus injury during birth.

At Goldasich, Vick, & McCartney, we handle serious birth injury cases through our catastrophic injury practice. When a child is diagnosed with Erb’s palsy or another brachial plexus birth injury, we examine what happened during labor and delivery, how the medical team responded to complications, and whether negligent care contributed to the nerve damage.

Our firm has recovered more than $800 million for clients and secured more than 85 settlements and verdicts of $1 million or greater across its practice. We also prepare every serious injury case for the possibility of trial.

Past results do not guarantee the outcome of a new case. They do reflect the resources and preparation we bring to complex medical-malpractice litigation.

Call (205) 922-7146 or contact us online for a free consultation with our Birmingham birth injury lawyers. You won’t owe legal fees unless we recover compensation for you.

What Erb’s Palsy Means

The brachial plexus is a network of nerves that carries signals from the spinal cord to the shoulder, arm, hand, and fingers.

A brachial plexus birth injury occurs when some of those nerves are stretched, compressed, torn, or separated from the spinal cord during or around delivery.

Erb’s palsy is a particular form of brachial plexus palsy that primarily affects the upper portion of the plexus. A child may have difficulty moving the shoulder or upper arm while retaining movement in the hand or fingers.

Other brachial plexus injuries can affect a larger portion of the nerve network and produce weakness or paralysis extending into the forearm, wrist, hand, or fingers.

The severity of the nerve injury can vary considerably.

A stretch injury, or neurapraxia, may recover over time. More significant injuries include nerve rupture and avulsion. In an avulsion, the nerve is torn away from the spinal cord and the potential for spontaneous recovery is substantially more limited.

Signs of a Brachial Plexus Birth Injury

Symptoms depend on which nerves were affected and how severely they were injured.

A baby with Erb’s palsy may show:

  • Weakness or reduced movement in one shoulder or upper arm
  • Difficulty bending or controlling the elbow
  • An affected arm that is held close to the body or rotated inward
  • Reduced sensation in part of the affected arm
  • Unequal movement between the two arms

Broader brachial plexus injuries may also affect hand or grip function.

Some infants recover substantial movement as the nerves heal. Others require physical or occupational therapy, nerve surgery, orthopedic procedures, or long-term treatment to address weakness, contractures, limited range of motion, or differences in arm development.

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    First, We Listen. Then, We Fight to Win.

    Over $800 Million Recovered For Our Clients
    • Focused on Catastrophic Cases

      We dedicate our practice to serious, life-altering injuries, bringing the experience and resources needed to handle the most complex claims.

    • Over $800 Million Recovered

      Our results speak for themselves, with over $800 million dollars recovered for clients through settlements and verdicts in high-stakes, catastrophic cases.

    • Personal Attention, Powerful Advocacy

      We combine hands-on, responsive client service with aggressive strategy, ensuring every client gets the focus, strategy, and results their case deserves.

    • Every Case Prepared for Trial

      Our strategy includes preparing every case for a potential trial, giving us leverage in negotiations and positioning our clients for maximum compensation.

    Shoulder Dystocia and Brachial Plexus Injury

    Brachial plexus birth injury is strongly associated with shoulder dystocia, an obstetric emergency in which the baby's shoulder becomes impacted after delivery of the head.

    During a shoulder dystocia, clinicians may need to use specific obstetric maneuvers to free the shoulder and complete the delivery.

    However, the presence of Erb’s palsy does not prove that a clinician used excessive force or committed malpractice.

    Brachial plexus injuries can occur without shoulder dystocia, without obvious risk factors, and even after cesarean delivery. The legal analysis therefore has to focus on what actually happened in the individual delivery rather than assuming that the diagnosis itself proves negligence.

    When Delivery Care May Need Closer Review

    A difficult delivery alone does not establish malpractice.

    Under Alabama law, the question is whether a healthcare provider failed to exercise the reasonable care, skill, and diligence that similarly situated providers ordinarily would have exercised in a like case, and whether that failure caused the child's injury.

    Depending on the circumstances, the delivery record may need to be reviewed for issues such as:

    • How shoulder dystocia was recognized and managed
    • What maneuvers were used and in what sequence
    • Whether excessive lateral traction was applied to the baby's head or neck
    • Whether forceps or vacuum assistance was used and how the instrument was applied
    • What maternal and fetal risk factors were known before delivery
    • How labor progressed before the injury occurred
    • Whether the medical team appropriately responded as conditions changed

    Known risk factors can be relevant to delivery planning, but they do not automatically dictate one method of delivery or prove negligence when an injury occurs.

    That distinction matters in Erb’s palsy litigation.

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    Compensation in an Erb’s Palsy Case

    The value of an Erb’s palsy claim depends on the severity and permanence of the nerve injury and the losses that can legally be connected to the negligent care.

    When supported by the evidence, recoverable damages may account for:

    • Past and future medical treatment
    • Physical and occupational therapy
    • Costs associated with nerve grafts, nerve transfers, orthopedic procedures, or other medically necessary treatment
    • Adaptive equipment or other support needs
    • Future medical and rehabilitation needs
    • Reduced earning capacity when permanent impairment is expected to affect the child's ability to work later in life
    • Pain, suffering, physical impairment, and other legally compensable consequences

    A child with a mild stretch injury may have very different long-term needs from a child with nerve rupture, avulsion, permanent weakness, or significant loss of function.

    For that reason, settlement valuation should follow the medical evidence rather than the diagnosis alone.

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