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Transient Exertional Compressive Radial Neuropathy in a Collegiate Baseball Pitcher: A Case Report.

Ian J Wellington¹, Patrick M Garvin, John W Stelzer

¹UConn Health, Department of Orthopaedic Surgery, Farmington, Connecticut.

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|February 23, 2023

Summary

This summary is machine-generated.

A baseball pitcher experienced arm pain and weakness due to exertional radial neuropathy. Ultrasound-guided treatment and nerve decompression resolved his symptoms, marking a first for this condition in athletes.

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Area of Science:

Sports Medicine
Neurology
Orthopedics

Background:

Atraumatic radial neuropathy is a rare condition.
Repetitive athletic activities can lead to nerve entrapment.
Understanding exertional neuropathies is crucial for athlete performance and health.

Observation:

A collegiate baseball pitcher presented with transient lateral arm pain and wrist extension weakness after pitching.
Symptoms occurred after pitching more than one inning.
Physical examination at rest was unremarkable.

Findings:

Ultrasound-guided injection of the radial nerve at the lateral intermuscular septum provided symptom relief.
Surgical decompression of the radial nerve led to complete resolution of symptoms during pitching.
This is the first reported case of transient exertional radial neuropathy at this specific anatomical location in an athlete.

Implications:

This case highlights the lateral intermuscular septum as a potential site for radial nerve entrapment in athletes.
Early diagnosis and targeted treatment, such as nerve decompression, can restore function in athletes with exertional neuropathies.
Further research into exertional neuropathies in athletes is warranted to improve prevention and management strategies.