接触性运动员臂丛神经损伤:述评。

IF 0.9 4区 医学 Q4 ORTHOPEDICS
Annals of Joint Pub Date : 2025-04-17 eCollection Date: 2025-01-01 DOI:10.21037/aoj-24-67
Rachel A Windmueller, Oluwafemi O Gbayisomore, Reagan L Mead, Mihir J Desai, Eric N Bowman
{"title":"接触性运动员臂丛神经损伤:述评。","authors":"Rachel A Windmueller, Oluwafemi O Gbayisomore, Reagan L Mead, Mihir J Desai, Eric N Bowman","doi":"10.21037/aoj-24-67","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and objective: </strong>Brachial plexus injuries (BPIs) are a rare but potentially devastating injury among contact athletes. More common injuries, such as \"burners\" or \"stingers\", indicate a temporary and less severe insult to either the nerve roots or plexus. The aim of this review is to discuss this spectrum of injuries in their epidemiology, mechanism in contact sports, diagnosis, and treatment.</p><p><strong>Methods: </strong>This literature review utilized key terms to search manuscripts available in English from inception to October 2024 within three research databases.</p><p><strong>Key content and findings: </strong>BPIs among contact athletes occur on a spectrum from neuropraxia to neurotmesis. Neuropraxia is very common among contact athletes with approximately a 49-65% incidence among career football players with the most common mechanism being a traction injury. Most of these resolve within minutes to hours. Axonotmesis and neurotmesis can be far more severe injuries and require further investigation if not resolved by 2-3 weeks. The majority of athletes who suffer neuropraxic injuries will return to sport with minimal to no time missed, however, more severe injuries portend variable outcomes.</p><p><strong>Conclusions: </strong>BPIs are common among contact athletes and involve a spectrum of nerve damage, of which most are self-limiting. However, further evaluation is warranted when symptoms last beyond 2-3 weeks. Future studies should focus on treatment algorithms and long-term outcomes, including return to sport.</p>","PeriodicalId":44459,"journal":{"name":"Annals of Joint","volume":"10 ","pages":"18"},"PeriodicalIF":0.9000,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12082188/pdf/","citationCount":"0","resultStr":"{\"title\":\"Brachial plexus injuries in the contact athlete: a narrative review.\",\"authors\":\"Rachel A Windmueller, Oluwafemi O Gbayisomore, Reagan L Mead, Mihir J Desai, Eric N Bowman\",\"doi\":\"10.21037/aoj-24-67\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background and objective: </strong>Brachial plexus injuries (BPIs) are a rare but potentially devastating injury among contact athletes. More common injuries, such as \\\"burners\\\" or \\\"stingers\\\", indicate a temporary and less severe insult to either the nerve roots or plexus. The aim of this review is to discuss this spectrum of injuries in their epidemiology, mechanism in contact sports, diagnosis, and treatment.</p><p><strong>Methods: </strong>This literature review utilized key terms to search manuscripts available in English from inception to October 2024 within three research databases.</p><p><strong>Key content and findings: </strong>BPIs among contact athletes occur on a spectrum from neuropraxia to neurotmesis. Neuropraxia is very common among contact athletes with approximately a 49-65% incidence among career football players with the most common mechanism being a traction injury. Most of these resolve within minutes to hours. Axonotmesis and neurotmesis can be far more severe injuries and require further investigation if not resolved by 2-3 weeks. The majority of athletes who suffer neuropraxic injuries will return to sport with minimal to no time missed, however, more severe injuries portend variable outcomes.</p><p><strong>Conclusions: </strong>BPIs are common among contact athletes and involve a spectrum of nerve damage, of which most are self-limiting. However, further evaluation is warranted when symptoms last beyond 2-3 weeks. Future studies should focus on treatment algorithms and long-term outcomes, including return to sport.</p>\",\"PeriodicalId\":44459,\"journal\":{\"name\":\"Annals of Joint\",\"volume\":\"10 \",\"pages\":\"18\"},\"PeriodicalIF\":0.9000,\"publicationDate\":\"2025-04-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12082188/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of Joint\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.21037/aoj-24-67\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Joint","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.21037/aoj-24-67","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0

摘要

背景和目的:臂丛神经损伤(bpi)是接触性运动员中一种罕见但具有潜在破坏性的损伤。更常见的损伤,如“烧伤”或“刺痛”,表明神经根或神经丛受到暂时的、不太严重的损伤。这篇综述的目的是讨论这些损伤的流行病学、接触性运动的机制、诊断和治疗。方法:利用关键词检索3个研究数据库中成立至2024年10月的英文稿件。主要内容和发现:接触性运动员的bp发生在从神经失用症到神经损伤的频谱上。神经失用症在接触性运动员中非常常见,在职业足球运动员中发病率约为49% -65%,最常见的机制是牵引力损伤。大多数这些问题在几分钟到几小时内就会解决。如果在2-3周内不能解决,轴索痛和神经损伤可能会严重得多,需要进一步调查。大多数遭受神经实用性损伤的运动员将在最小或没有时间的情况下恢复运动,然而,更严重的损伤预示着不同的结果。结论:bpi在接触性运动员中很常见,涉及一系列神经损伤,其中大多数是自限性的。然而,当症状持续超过2-3周时,需要进一步评估。未来的研究应该关注治疗算法和长期结果,包括重返运动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Brachial plexus injuries in the contact athlete: a narrative review.

Background and objective: Brachial plexus injuries (BPIs) are a rare but potentially devastating injury among contact athletes. More common injuries, such as "burners" or "stingers", indicate a temporary and less severe insult to either the nerve roots or plexus. The aim of this review is to discuss this spectrum of injuries in their epidemiology, mechanism in contact sports, diagnosis, and treatment.

Methods: This literature review utilized key terms to search manuscripts available in English from inception to October 2024 within three research databases.

Key content and findings: BPIs among contact athletes occur on a spectrum from neuropraxia to neurotmesis. Neuropraxia is very common among contact athletes with approximately a 49-65% incidence among career football players with the most common mechanism being a traction injury. Most of these resolve within minutes to hours. Axonotmesis and neurotmesis can be far more severe injuries and require further investigation if not resolved by 2-3 weeks. The majority of athletes who suffer neuropraxic injuries will return to sport with minimal to no time missed, however, more severe injuries portend variable outcomes.

Conclusions: BPIs are common among contact athletes and involve a spectrum of nerve damage, of which most are self-limiting. However, further evaluation is warranted when symptoms last beyond 2-3 weeks. Future studies should focus on treatment algorithms and long-term outcomes, including return to sport.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Annals of Joint
Annals of Joint ORTHOPEDICS-
CiteScore
1.10
自引率
-25.00%
发文量
17
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信