| Which of the following describes the cookie test for neonatal brachial plexus palsy? |
- The arm should be held abducted to evaluate biceps function with gravity eliminated. The cookie test involves antigravity elbow flexion.
- The child “passes” the test if he or she is able to get the cookie to the mouth without flexing the neck >45°. This is the correct description of the cookie test.
- Failure to pass the test by 24 months should prompt consideration for microsurgical plexus exploration. This test should be employed earlier, at age 4 to 6 months, to factor in to operative decision-making.