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Brachial Plexus Injuries (Burners and Stingers), Sports Medicine

Geoffrey S. Kuhlman, MD, FAAFP, CAQSM Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Acute trauma to the neck and shoulder area injuring the brachial plexus

  • Typically causes burning or stinging pain in the upper shoulder radiating down the entire upper extremity, henc...

DIAGNOSIS

HISTORY

  • Mechanism of injury (Falling on an outstretched arm suggests alternative injury.) 2

  • Details of symptom quality, severity, and location (Bilateral or lower extremity symptoms indicate c...

TREATMENT

GENERAL MEASURES

  • Stretch tight muscles at neck and shoulder.

  • Strengthen neck, shoulder, and muscles weakened by injury.

  • These strategies apply, regardless of injury mechanism.

  • Schedule follow-up...

ONGOING CARE

Prevention: 
  • Chest-out posture

  • Ensure correct playing technique.

  • Maintain strength and flexibility of neck and shoulder.

REFERENCES

1
Kuhlman GS, McKeag DB. The “burner”: a common nerve injury in contact sports. Am Fam Physician.  1999;60(7):2035–2040, 2042.
2
Standaert CJ, Herring SA. Expert opinion and controversies...

ADDITIONAL READING

  • Aval SM, Durand PJr, Shankwiler JA. Neurovascular injuries to the athlete’s shoulder: part I. J Am Acad Orthop Surg.  2007;15(4):249–256.

  • Aval SM, Durand PJr, Shankwiler JA. Neu...

CLINICAL PEARLS

  • Nerve damage is generally not permanent, but a few patients have symptoms lasting months to years 2.

  • Conditioning and rehabilitation should begin immediately. You can return to contact ...

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