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Entrapment neuropathies of the upper extremity
1Department of Orthopedic Surgery, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Desk A41, Cleveland, OH 44195, USA. dimeffr@ccf.org
Current Sports Medicine Reports
|September 10, 2003
Summary
Diagnosing upper extremity entrapment neuropathies in athletes can be difficult due to intermittent symptoms. Early diagnosis and conservative treatment, including exercises and rest, are key for recovery.
Area of Science:
- Orthopedics
- Sports Medicine
- Neurology
Background:
- Entrapment neuropathies present diagnostic challenges due to intermittent symptoms like pain and weakness.
- Accurate diagnosis relies heavily on detailed patient history and physical examination, especially post-activity.
Purpose of the Study:
- To review the causes, evaluation, and treatment of common upper extremity entrapment neuropathies in athletes.
- To provide guidance for managing sports-related nerve entrapment conditions.
Main Methods:
- Literature review of etiology, evaluation, and treatment strategies.
- Focus on common upper extremity entrapment neuropathies in the context of sports participation.
Main Results:
- Diagnostic challenges arise from intermittent symptoms; history and physical exam are crucial.
- Laboratory and electrodiagnostic studies may not always yield definitive results.
- Conservative treatments are often effective for sports-related nerve entrapments.
Conclusions:
- Most upper extremity entrapment neuropathies in athletes respond well to conservative management.
- Rehabilitation exercises, rest, training adjustments, medication, and protective gear are primary treatment modalities.
- Surgical intervention is occasionally required for persistent cases.