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Isolated Mononeuropathy From Rucksack Palsy: A Case Series
Jameson P McShea1,2,3, Jordan E Powell2, Edward A Dolomisiewicz2
1The Center for Rehabilitation Sciences Research, Uniformed Services University, Bethesda, MD, USA.
Military Medicine
|November 24, 2020
Summary
Rucksack use can cause nerve injuries like brachial plexopathy and isolated mononeuropathies, affecting military personnel. Proper rucksack fitting and education are key to preventing these debilitating conditions.
Area of Science:
- Neurology
- Military Medicine
- Orthopedics
Background:
- Brachial plexopathy from rucksack use is increasingly recognized.
- Isolated mononeuropathies secondary to rucksack use are less commonly described.
- Military personnel are particularly susceptible due to heavy load carriage.
Purpose of the Study:
- To present cases of isolated mononeuropathies in military personnel from rucksack use.
- To review factors influencing rucksack construction, components, and fitting.
- To provide recommendations for preventing rucksack-induced nerve injuries.
Main Methods:
- Case series presentation of three military personnel with mononeuropathy.
- Review of rucksack design and fitting principles.
- Analysis of potential causative factors for nerve injuries.
Main Results:
- Three cases of mononeuropathy identified, including long thoracic and spinal accessory nerve injuries.
- Identified critical factors in rucksack design and fitting that contribute to nerve damage.
- Highlighted the need for specific user education.
Conclusions:
- Rucksack use can lead to significant peripheral nerve injuries beyond brachial plexopathy.
- Attention to rucksack construction, components, and proper fitting is essential for prevention.
- Education on correct rucksack use is crucial for military personnel's health.

