Sports-Related Peripheral Nerve Injuries
Journal Title: Malla Reddy Medical College For Women Journal Of Medical Sciences - Year 2019, Vol 2, Issue 1
Abstract
Peripheral nerve injury is one of the serious complications of athletic injuries; however, they have rarely been reported. The nerves most frequently involved were: brachial plexus, radial nerve, ulnar, peroneal, and axillary nerves (in their order of frequency). The most common causes of such injuries were cycling, running, badminton, tennis, mountain climbing, gymnastics, and baseball and all the other sports mentioned in this article. More often, peripheral nerve injury seemed to be caused by continuous compression and repeated trauma to the involved nerve. Usually it appeared as an entrapment neuropathy and the symptoms could be improved by conservative treatment. Some of the cases were complicated by fractures and surgical exploration became necessary. Results of treatment produced excellent to good improvement in 87.9% of the cases. With regard to compartment syndrome, the authors stress the importance of early and precise diagnosis and a fasciotomy. In assessing peripheral nerve injuries in sport, it is not enough to simply make a diagnosis of the involved nerve; the physician must also assess whether the nerve became injured through a process of direct acute compression or stretching, repetitive compression and stretching over time, or another mechanism such as ischemia or laceration. Diagnosing sports-related peripheral nerve injuries within the context of their mechanism of action better allows for the possibility of functional rehabilitation. Although making a diagnosis of the involved peripheral nerve is not necessarily difficult for the practicing neurologist, it is critical to always place peripheral nerve injury in sport within the context of sports medicine. Imaging plays an increasingly integral role in the clinical care of athletes with peripheral nerve injuries and can identify patients who benefit from surgery earlier than the clinical examination. Knowledge of the MRI appearance of peripheral nerve injuries is important to characterizing the severity and extent of sports-related peripheral nerve injuries, such that interventions to correct sport-specific positioning and activities or recommendations for surgery may be made before the development of irreversible nerve damage.
Authors and Affiliations
Archana Singh
Keywords
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