Clancy W G, Brand R L, Bergfield J A
Am J Sports Med. 1977 Sep-Oct;5(5):209-16. doi: 10.1177/036354657700500508.
Cervical nerve pinch syndrome, a neurapraxia of the brachial plexus, is a common occurrence in contact football. The incidence at two universities was approximately 49%. The more serious injury, brachial plexus axonotmesis, has received little attention in the literature. We are reporting 13 cases of brachial plexus axonotmesis. Ten were documented by electromyography. All involved the upper trunk. All but one patient recovered within a 3- to 42-week interval. These brachial plexus axonotmesis injuries may initially present as a cervical nerve pinch syndrome. All significant or repeated cervical nerve pinch injuries should be reexamined at 2 weeks. Those patient with axonotmesis should not be allowed to return to competition until they have achieved normal strength in the involved muscles and the electromyogram shows no signs of active denervation.
颈神经卡压综合征是一种臂丛神经失用症，在美式橄榄球运动中很常见。两所大学的发病率约为49%。更严重的损伤，即臂丛神经轴索断裂，在文献中很少受到关注。我们报告了13例臂丛神经轴索断裂病例。其中10例通过肌电图记录。所有病例均累及上干。除1例患者外，所有患者均在3至42周内康复。这些臂丛神经轴索断裂损伤最初可能表现为颈神经卡压综合征。所有严重或反复出现的颈神经卡压损伤应在2周后重新检查。轴索断裂的患者在受累肌肉力量恢复正常且肌电图显示无主动失神经迹象之前，不应允许其重返比赛。
