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Abstract:
A case of 'Pack Palsy' in a previously fit soldier caused by incorrect adjustment of the strapping of his pack is described. The resulting disability was severe and recovery, although complete, was prolonged. Realization of the potential for brachial plexus injury, particularly in the combat situation, when the duration of march and the rough terrain cannot be varied is strongly emphasised. The mechanics as well as the two different sites of injury are described.