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The prolonged burner syndrome.

K P Speer1, F H Bassett

  • 1Division of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina 27710.

The American Journal of Sports Medicine
|November 1, 1990
PubMed
Summary
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Prolonged burner syndrome in football players requires careful evaluation. Muscular weakness at 72 hours post-injury correlates with electrodiagnostic findings, guiding return-to-play decisions based on clinical examination.

Area of Science:

  • Neurology
  • Sports Medicine
  • Orthopedics

Background:

  • Burners, or stinger injuries, are common in football.
  • Prolonged neurologic recovery from burners can impact athletes.
  • Understanding the short-term recovery is crucial for managing these injuries.

Purpose of the Study:

  • To investigate the short-term natural history of prolonged burner syndrome.
  • To correlate electrodiagnostic findings and isokinetic testing with clinical presentation.
  • To identify predictors of prolonged recovery in football players.

Main Methods:

  • Evaluation of six football players with prolonged burner syndrome.
  • Isokinetic testing and electrodiagnostic studies performed post-injury.
  • Correlation of initial physical examination with objective testing results.

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Main Results:

  • Muscular weakness at 72 hours post-injury correlated with positive electrodiagnostic findings.
  • Initial physical examination findings did not correlate with electrodiagnostic results.
  • Isokinetic testing revealed strength differences not apparent with manual muscle testing.

Conclusions:

  • Delayed muscular weakness is a key indicator in prolonged burner syndrome.
  • Electrodiagnostic testing and isokinetic evaluation provide valuable insights.
  • Return to play decisions should prioritize clinical examination and objective findings.