HSS Journal

, Volume 4, Issue 1, pp 87–95

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

  • Joseph H. Feinberg
  • Jeffrey Radecki
  • Scott W. Wolfe
  • Helene L. Strauss
  • Douglas N. Mintz
Electrodiagnostic Corner

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.

Key words

electromyography EMG electrodiagnostics brachial plexopathy nerve root avulsion nerve graft 

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Copyright information

© Hospital for Special Surgery 2007

Authors and Affiliations

  • Joseph H. Feinberg
    • 1
    • 4
  • Jeffrey Radecki
    • 1
  • Scott W. Wolfe
    • 2
  • Helene L. Strauss
    • 2
  • Douglas N. Mintz
    • 3
  1. 1.Department of PhysiatryHospital for Special SurgeryNew YorkUSA
  2. 2.Center for Hand and Upper Extremity SurgeryHospital for Special SurgeryNew YorkUSA
  3. 3.Department of Radiology and ImagingHospital for Special SurgeryNew YorkUSA
  4. 4.Hospital for Special SurgeryNew YorkUSA

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