Semin Neurol 2000; 20(2): 225-232
DOI: 10.1055/s-2000-9832
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Peripheral Nerve Injuries in Athletes: A Case Series of Over 200 Injuries

Lisa S. Krivickas1 , Asa J. Wilbourn2
  • 1Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Harvard Medical School, Boston, Massachusetts
  • 2Department of Neurology, The Cleveland Clinic Foundation, Cleveland, Ohio
Further Information

Publication History

Publication Date:
31 December 2000 (online)

ABSTRACT

We retrospectively reviewed electrodiagnostic (EDX) studies performed on 346 athletes with sports injuries who were referred to our EDX laboratory from 1974 to 1997. These injuries included 216 nerve root, plexus, or peripheral nerve injuries sustained by 180 of the athletes. Eighty-six percent of the injuries were to the upper extremity. Athletes with nerve fiber injuries participated in 27 different sports, but over one third of injuries were sustained playing football. The most common symptomatic upper extremity injury was the ``burner'' (N=40). Forthy-three athletes had median neuropathies, many of which were asymptomatic cases of carpal tunnel syndrome. Cervical radiculopathies (N=19) and axillary (N=22), ulnar (N=19), and suprascapular (N=14) mononeuropathies were also prevalent. The most common lower extremity injuries were peroneal neuropathies (N=17) and lumbosacral radiculopathies (N=7). This is the largest reported series of sports-related nerve injuries. The mechanisms of the most common nerve injuries are discussed.

REFERENCES

  • 1 Weddell G, Feinstein B, Pattle R. The electrical activity of voluntary muscle in man under normal and pathological conditions.  Brain . 1944;  67 178-257
  • 2 Hirasawa Y, Sakakida K. Sports and peripheral nerve injury.  Am J Sports Med . 1983;  11 420-426
  • 3 Krivickas L S, Wilbourn A J. Sports and peripheral nerve injuries: report of 190 injuries evaluated in a single electromyography laboratory.  Muscle Nerve . 1998;  21 1092-1094
  • 4 Chrisman O, Snook G A, Stanitis J M, Keedy V A. Lateral flexion neck injuries in athletics.  JAMA . 1965;  192 117-119
  • 5 Clancy W, Brand R, Bergfeld J. Upper trunk brachial plexus injuries in contact sports.  Am J Sports Med . 1977;  5 209-216
  • 6 DiBenedetto M, Markey K. Electrodiagnostic localization of traumatic upper trunk brachial plexopathy.  Arch Phys Med Rehabil . 1984;  65 15-17
  • 7 Markey K, DiBenedetto M, Curl W. Upper trunk brachial plexopathy: the stinger syndrome.  Am J Sports Med . 1993;  21 650-655
  • 8 Robertson W, Eichman P, Clancy W. Upper trunk brachial plexopathy in football players.  JAMA . 1979;  241 1480-1482
  • 9 Wilbourn A. Brachial plexus disorders. In: Dyck P, et al, eds. Peripheral Neuropathy Philadelphia: WB Saunders Co 1993: 911-950
  • 10 Kline D, Lusk M. Management of athletic brachial plexus injuries. In: Schneider R, Kennedy J, Plant M, eds. Sports Injuries: Mechanisms, Prevention, and Treatment Baltimore: Williams & Wilkins 1985: 724-742
  • 11 Poindexter D, Johnson E. Football shoulder and neck injury: a study of the ``stinger''.  Arch Phys Med Rehabil . 1984;  65 601-602
  • 12 Wilbourn A J. Electrodiagnostic testing of neurologic injuries in athletes.  Clin Sports Med . 1990;  9 229-244
  • 13 Pianka G, Hershman E. Neurovascular injuries. In: Nicholas J, Hershman E, eds. The Upper Extremity in Sports Medicine St. Louis: CV Mosby 1990: 691-722
  • 14 Eckman P, Perlstein G, Altrocchi P. Ulnar neuropathy in bicycle riders.  Arch Neurol . 1975;  32 130-132
  • 15 Hoyt C. Ulnar neuropathy in bicycle riders.  Arch Neurol . 1976;  33 372
  • 16 Burnham R, Steadward R. Upper extremity peripheral nerve entrapments among wheelchair athletes: prevalence, location, and risk factors.  Arch Phys Med Rehabil . 1994;  75 519-524
  • 17 DeKrom M, Knipschild P G, Kester A DM, Thijs C T, Boekkooi P F, Spaans F. Carpal tunnel syndrome: prevalence in the general population.  J Clin Epidemiol . 1992;  45 373-376
  • 18 Berenson F, Wilbourn A. Carpal tunnel syndrome in pediatrics: frequency and etiologies.  Neurology . 1995;  45 A348
  • 19 Veltri D, Warren R. Anatomy, biomechanics, and physical findings in posterolateral knee instability.  Clin Sports Med . 1994;  13 599-614
  • 20 Myles S T, Mohtadi N GH, Schnittker J. Injuries to the nervous system and spine in downhill skiing.  Can J Surg . 1992;  35 643-660
  • 21 McMahon M S, Craig S M. Interfascicular reconstruction of the peroneal nerve after knee ligament injury.  Ann Plast Surg . 1994;  32 642-644
  • 22 Seckler M M, DiStefano V. Peroneal nerve palsy in the athlete: a result of indirect trauma.  Orthopedics . 1996;  19 345-348
  • 23 Montgomery T J, Savoie F H, White J L, Roberts T S, Hughes J L. Orthopedic management of knee dislocations.  Am J Knee Surg . 1995;  8 97-103
  • 24 Malizos K N, Xenakis T, Mavodontidis A N, Xanthis A, Korobilias A B, Soucacos P N. Knee dislocations and their management.  Acta Orthop Scand . 1997;  68 80-83
  • 25 Wascher D C, Dvirnak P C, DeCoster T A. Knee dislocation: initial assessment and implications for treatment.  J Orthop Trauma . 1997;  11 525-529
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