Current concepts review: peripheral neuropathies of the shoulder in the young athlete

John, Tamara S.; Fishman, Felicity G.; Sharkey, Melinda S.; Carter, Cordelia W.

doi:10.1080/00913847.2019.1676136

Cited by 2 publications

(8 citation statements)

References 68 publications

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“…Intermittent compression of the axillary nerve at the quadrilateral space occurs when the shoulder is in abduction and external rotation as in the late cocking phase of pitching where the quadrilateral space closes because of contraction of the teres major and minor 19 . QSS is most common in patients younger than 40 years old who participate in repetitive overhead activities 71,72 …”

Section: Peripheral Neuropathies In Throwing Athletesmentioning

confidence: 99%

“…In these cases, there may be tenderness over the quadrilateral space. Diagnostic ultrasound‐guided injection is very useful in this scenario as tenderness and pain should improve 19,52,71,75,76 . Otherwise, from a diagnostic standpoint, EMG/NCS remains the study of choice, although it is less sensitive in evaluating for QSS because of significant dynamic and positional aspects 52 .…”

Section: Peripheral Neuropathies In Throwing Athletesmentioning

confidence: 99%

“…This includes rest from throwing and physical therapy. Physical therapy for the throwing athlete with this injury typically involves range of motion with posterior capsule stretching, scapular stabilization, posterior rotator cuff strengthening, and an interval throwing program 71,79 . Throwing mechanics are also addressed in the rehabilitation period.…”

Section: Peripheral Neuropathies In Throwing Athletesmentioning

confidence: 99%

“…Overuse long thoracic nerve injuries in throwing athletes typically spontaneously resolve with nonsurgical management in 6–18 months 71 . A shorter recovery time course of 6 to 9 months has been reported in athletes 157,158 .…”

Section: Peripheral Neuropathies In Throwing Athletesmentioning

confidence: 99%

“…19 QSS is most common in patients younger than 40 years old who participate in repetitive overhead activities. 71,72 Typically, athletes with QSS present with pain, shoulder abduction weakness, and possible decreased sensation over the lateral shoulder after a direct trauma. However, this is uncommon in throwers.…”

Section: Axillary Nerve/quadrilateral Space Syndromementioning

confidence: 99%

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A review of upper extremity peripheral nerve injuries in throwing athletes

Bowers

Cherian

Zaremski

2022

PM&R

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Peripheral nerve injuries in the upper extremities may be common in throwing athletes as the throwing motion places extreme stress on the dominant arm. The combination of extreme stress along with repetitive microtrauma from throwing uniquely places the throwing athlete at elevated risk of upper extremity peripheral nerve injury. However, because symptoms can be nonspecific and frequently coexist with pathology in the upper extremity, the diagnosis of peripheral nerve injury is often delayed. Diagnosis of peripheral nerve injuries may require a combination of history and physical examination, diagnostic imaging, electrodiagnostic testing, and diagnostic ultrasound-guided injections. The primary management should include physical therapy focusing on throwing mechanics and kinetic chain evaluation. However, some athletes require surgical intervention if symptoms do not improve with conservative management. The purpose of this focused narrative review is to highlight upper extremity peripheral neuropathies reported in throwing athletes and to provide an overview of the appropriate clinical diagnosis and management of the throwing athlete with a peripheral nerve injury.

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Section: Peripheral Neuropathies In Throwing Athletesmentioning

confidence: 99%

Section: Peripheral Neuropathies In Throwing Athletesmentioning

confidence: 99%

Section: Peripheral Neuropathies In Throwing Athletesmentioning

confidence: 99%

Section: Peripheral Neuropathies In Throwing Athletesmentioning

confidence: 99%