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Brachial Plexopathy/Nerve Root Avulsion in a Football Player: The Role of Electrodiagnostics

  • Electrodiagnostic Corner
  • Published:
HSS Journal

Abstract

Electromyography (EMG) studies are a useful tool in anatomical localization of peripheral nerve and brachial plexus injuries. They are especially helpful in distinguishing between brachial plexopathy and nerve root injuries where surgical intervention may be indicated. EMG can also assist in providing prognostic information after nerve injury as well as after nerve repair. In this case report, a football player presented with weakness in his right upper limb after a traction/traumatic injury to the right brachial plexus. EMG studies revealed evidence of both pre- and postganglionic injury to multiple cervical roots. The injury was substantial enough to cause nerve root avulsions involving the C6 and C7 levels. Surgical referral led to nerve grafts targeted at regaining function in shoulder abduction and elbow flexion. After surgery, the patient’s progress was monitored utilizing EMG to assist in identifying true axonal regeneration.

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Authors and Affiliations

  1. Department of Physiatry, Hospital for Special Surgery, 523 East 72nd Street, 2nd Floor, New York, NY, 10021, USA

    Joseph H. Feinberg MD & Jeffrey Radecki MD

  2. Center for Hand and Upper Extremity Surgery, Hospital for Special Surgery, 523 East 72nd Street, 4th Floor, New York, NY, 10021, USA

    Scott W. Wolfe MD & Helene L. Strauss BA

  3. Department of Radiology and Imaging, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA

    Douglas N. Mintz MD

  4. Hospital for Special Surgery, East River Professional Building, 523 East 72nd Street, 2nd Floor, New York, NY, 10021, USA

    Joseph H. Feinberg MD

Authors
  1. Joseph H. Feinberg MD
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  2. Jeffrey Radecki MD
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  3. Scott W. Wolfe MD
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  4. Helene L. Strauss BA
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  5. Douglas N. Mintz MD
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Corresponding author

Correspondence to Joseph H. Feinberg MD.

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Feinberg, J.H., Radecki, J., Wolfe, S.W. et al. Brachial Plexopathy/Nerve Root Avulsion in a Football Player: The Role of Electrodiagnostics. HSS Jrnl 4, 87–95 (2008). https://doi.org/10.1007/s11420-007-9064-1

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  • DOI: https://doi.org/10.1007/s11420-007-9064-1

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