---

Gilbert shoulder classification

Brachial plexus injury

Grade 0

Complete flail shoulder

Grade 1 (poor)

Abduction equal to 45°, with no active external rotation

Grade 2 (fair)

Abduction of less than 90°, with no external rotation

Grade 3 (satisfactory)

Abduction equal to 90°, with weak external rotation

Grade 4 (good)

Abduction of less than 120°, with incomplete external rotation

Grade 5 (excellent)

Abduction of greater than 120°, with active external rotation

Reference

Brachial Plexus Birth Palsy An Overview of Early Treatment Considerations. David E. Ruchelsman, M.D., Sarah Pettrone, M.D., Andrew E. Price, M.D., and John A.I. Grossman, M.D., F.A.C.S.Bulletin of the NYU Hospital for Joint Diseases 2009;67(1):83-9


Multidisciplinary Management of Brachial Plexus Birth Injuries: The Miami ExperienceJohn A. I. Grossman, M.D., F.A.C.S., Patricia DiTaranto, M.D., [...], and Israel Alfonso, M.D. Semin Plast Surg. Nov 2004;18(4):319-328