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Upper Extremity Neuropathies in Athletes.

Derek C Stokes, Kevin Toole1, Daniel M Cushman

  • 1University of Colorado School of Medicine, Aurora, CO.

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Summary
This summary is machine-generated.

This review covers upper extremity neuropathies in athletes, focusing on diagnosis and management. Early identification and nonoperative treatments are key for athletes experiencing nerve pain and dysfunction.

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Area of Science:

  • Orthopedics
  • Neurology
  • Sports Medicine

Background:

  • Upper extremity neuropathies are a common cause of pain and dysfunction in athletes.
  • Symptoms can be subtle and nonspecific, making diagnosis challenging.
  • Prompt evaluation is crucial for effective management.

Purpose of the Study:

  • To provide an updated review of the evaluation and management of common upper extremity neuropathies in athletes.
  • To highlight diagnostic tools and treatment strategies.
  • To emphasize the importance of recognizing these conditions in athletic populations.

Main Methods:

  • Review of current literature on upper extremity neuropathies in athletes.
  • Discussion of clinical presentation, physical examination findings, and diagnostic modalities.
  • Overview of nonoperative and operative treatment approaches.

Main Results:

  • Clinical presentations often include subtle neurological deficits, positive Tinel sign, and provocative test results.
  • Electromyography/Nerve Conduction Studies (EMG/NCS) and imaging (radiographs, ultrasound, MRI) aid in diagnosis.
  • Nonoperative management is typically the first line of treatment.

Conclusions:

  • Early and accurate diagnosis of upper extremity neuropathies is essential for athletes.
  • A combination of clinical assessment and diagnostic tools improves diagnostic accuracy.
  • Tailored treatment plans, starting with conservative measures, can effectively manage these conditions.