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Unilateral cervical nerve injuries: Brachial plexopathies

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Current Sports Medicine Reports

Abstract

Brachial plexus injuries are frequently encountered in sports. Classically, the symptoms include transient burning, pain, and occasionally weakness of an isolated upper extremity resulting from a peripheral nerve injury of varying degrees. Persistent symptoms or recurrent injuries may necessitate imaging such as electromyography. Medical personnel should be familiar with brachial plexus anatomy and the common nerve injury mechanisms of compression or traction. On-field assessment includes evaluation for potentially more serious neurologic injuries and possible return to play when symptoms have resolved and the athlete has good range of motion and strength. Evidence-based guidelines are largely lacking, resulting in challenging evaluation and return-to-play decisions. Management focuses on improving neck range of motion and strength in addition to assessing for proper sport-specific technique. Additionally, enhancing protective equipment may prevent brachial plexus injuries. Currently, global screening via imaging of athletes is not recommended.

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References and Recommended Reading

  1. Castro FP, Ricciardi J, Brunet ME, et al.: Stingers, the Torg ratio, and the cervical spine. Am J Sports Med 1997, 25:603–608.

    Article  PubMed  Google Scholar 

  2. Moore, Kl, Dalley, AF: Clinically oriented anatomy. Baltimore: Lippincott Williams & Wilkins; 1999:708–715.

    Google Scholar 

  3. Zanetears PD: Brachial plexus injuries and the electrodiagnosic examination. Curr Sports Med Rep 2003, 2:7–14.

    Google Scholar 

  4. Nordin M, Frankel V: Basic Biomechanics of the Musculoskeletal System. Baltimore: Lippincott Williams & Wilkins; 1989:77–85.

    Google Scholar 

  5. Burnett MG, Zager EL: Pathophysiology of peripheral nerve injury: a brief overview. Neurosurg Focus 2004, 16:E1.

    Article  PubMed  Google Scholar 

  6. Seddon HJ: Three types of nerve injury. Brain 1943, 66:238–283.

    Article  Google Scholar 

  7. Cotran R, Vinay K, Collins T: Robbins Pathologic Basis of Disease. Philadelphia: WB Saunders, 1999:1270–1274.

    Google Scholar 

  8. Kuhlman GS, McKeag DB: The ‘burner’: a common nerve injury in contact sports. Am Fam Physician 1999, 60:2035–2040; 2042.

    PubMed  CAS  Google Scholar 

  9. Markey KL, DiBinedetto M, Curl WW: Upper trunk brachial plexopathy: the stinger syndrome. Am J Sports Med 1993, 21:650–655.

    Article  PubMed  CAS  Google Scholar 

  10. Feinberg JH: Burners and stingers. Phys Med Rehabil Clin N Am 2000, 11:771–785.

    PubMed  CAS  Google Scholar 

  11. Robertson WC, Eichman PL, Clancy WG: Upper trunk brachioplexopathy in football players. JAMA 1979, 241:1480–1482.

    Article  PubMed  Google Scholar 

  12. Stracciolini A: Cervical burners in the athlete. Pediatr Case Rev 2003, 3:181–188.

    Article  PubMed  Google Scholar 

  13. Levitz CL, Reilly PJ, Torg JS: The pathomechanics of chronic recurrent cervical nerve root neuropraxia: the chronic burner syndrome. Am J Sports Med 1997, 25:73–76.

    Article  PubMed  CAS  Google Scholar 

  14. Shannon B, Klimkiewicz JJ: Cervical burners in the athlete. Clin Sports Med 2002, 2:29–35.

    Article  Google Scholar 

  15. Weinberg, J. Rokito S: Etiology treatment and prevention of stingers. Clin Sports Med 2003, 21:493–500.

    Article  Google Scholar 

  16. Nissen SJ, Laskowski ER, Rizzo TD: Burner syndrome; recognition and rehabilitation. Phys Sportsmed 1996, 24:57.

    Google Scholar 

  17. Maroon JC: “Burning hands” in football spinal cord injuries. JAMA 1977, 238:2049–2051.

    Article  PubMed  CAS  Google Scholar 

  18. Warren WL Jr: On the field evaluation of athletic neck injury. Clin Sports Med 1998, 17:99–110.

    Article  PubMed  Google Scholar 

  19. Anderson C, Johnson RJ: Neck injuries backboard, bench, or return to play. Phys Sportsmed 1993, 21:23.

    Google Scholar 

  20. Meyer SA, Schulte KR, Callaghan JJ, et al.: Cervical spinal stenosis and stingers in collegiate football players. Am J Sports Med 1994, 22:158–166.

    Article  PubMed  CAS  Google Scholar 

  21. Herzog RJ, Wiens JJ, Dillingham MF, et al.: Normal cervical spine morphometry and cervical spinal stenosis in asymptomatic professional football players: plain radiography, multiplanar computed tomography, and magnetic resonance imaging. Spine 1991, 16:S178–S186.

    Article  PubMed  CAS  Google Scholar 

  22. Speer KP: The prolonged burner syndrome. Am J Sports Med 1990, 18:591–594.

    Article  PubMed  CAS  Google Scholar 

  23. Wilbourn A: Electrodiagnostic testing of neurologic injuries in athletes. Clin in Sports Med 1990, 9:229–245.

    Article  CAS  Google Scholar 

  24. Weinstein, SM: Assessment and rehabilitation of the athlete with a “stinger”, a model for the management of noncatastrophic athletic cervical spine injury. Clin Sports Med 1998, 17:127–135.

    Article  PubMed  CAS  Google Scholar 

  25. Sallis RE, Jones K, Knopp W: Burners, offensive strategy for an underreported injury. Phys Sportsmed 1992, 20:47.

    Google Scholar 

  26. Bergfeld JA, Hershman E, Wilbourne A: Brachial plexus injuries in sports, a five year follow-up. Orthop Transactions 1988, 12:743–744.

    Google Scholar 

  27. Herring SA, Weinstein SM: Electrodiagnosis in sports medicine. Phys Med Rehabil State Art Rev 1989, 3:809–822.

    Google Scholar 

  28. Watkins RG, Dillin WM: Cervical spine and spinal cord injuries. In Sports Injuries: Mechanics, Prevention, Treatment. Edited by Fu FH, Stone DA. Baltimore: Lippincott Williams & Wilkins; 1994.

    Google Scholar 

  29. Hovis WD, Limbird TJ: An evaluation of cervical orthoses in limiting hyperextension and lateral flexion in football. Med Sci Sports Exerc 1994, 26:872–876.

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Family Medicine and Community Health, University of Minnesota, 1020 West Broadway, Minneapolis, MN, 55411, USA

    David E. Olson MD

Authors
  1. David E. Olson MD
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  2. Saul A. McBroom MD
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  3. Benjamin D. Nelson MD
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  4. Michael S. Broton MD
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  5. Thomas J. Pulling MD
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Correspondence to David E. Olson MD.

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Olson, D.E., McBroom, S.A., Nelson, B.D. et al. Unilateral cervical nerve injuries: Brachial plexopathies. Curr Sports Med Rep 6, 43–49 (2007). https://doi.org/10.1007/s11932-007-0011-1

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  • DOI: https://doi.org/10.1007/s11932-007-0011-1

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