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Postfixed brachial plexus radiculopathy due to thoracic disc herniation in a collegiate wrestler: a case report.
[thoracic outlet syndrome]
To
present
the
unique
case
of
a
collegiate
wrestler
with
C
7
neurologic
symptoms
due
to
T
1
-
T
2
disc
herniation
.
A
23
-
year
-old
male
collegiate
wrestler
injured
his
neck
in
a
wrestling
tournament
match
and
experienced
pain
,
weakness
,
and
numbness
in
his
left
upper
extremity
.
He
completed
that
match
and
1
additional
match
that
day
with
mild
symptoms
.
Evaluation
by
a
certified
athletic
trainer
6
days
postinjury
showed
radiculopathy
in
the
C
7
distribution
of
his
left
upper
extremity
.
He
was
evaluated
further
by
the
team
physician
,
a
primary
care
physician
,
and
a
neurosurgeon
.
Cervical
spine
injury
,
stinger
/
burner
,
peripheral
nerve
injury
,
spinal
cord
injury
,
thoracic
outlet
syndrome
,
brachial
plexus
radiculopathy
.
The
patient
initially
underwent
nonoperative
management
with
ice
,
heat
,
massage
,
electrical
stimulation
,
shortwave
diathermy
,
and
nonsteroidal
anti-
inflammatory
drugs
without
symptom
resolution
.
Cervical
spine
radiographs
were
negative
for
bony
pathologic
conditions
.
Magnetic
resonance
imaging
showed
evidence
of
T
1
-
T
2
disc
herniation
.
The
patient
underwent
surgery
to
resolve
the
symptoms
and
enable
him
to
participate
for
the
remainder
of
the
wrestling
season
.
Whereas
brachial
plexus
radiculopathy
commonly
is
seen
in
collision
sports
,
a
postfixed
brachial
plexus
in
which
the
T
2
nerve
root
has
substantial
contribution
to
the
innervation
of
the
upper
extremity
is
a
rare
anatomic
variation
with
which
many
health
care
providers
are
unfamiliar
.
The
injury
sustained
by
the
wrestler
appeared
to
be
C
7
radiculopathy
due
to
a
brachial
plexus
traction
injury
.
However
,
it
ultimately
was
diagnosed
as
radiculopathy
due
to
a
T
1
-
T
2
thoracic
intervertebral
disc
herniation
causing
impingement
of
a
postfixed
brachial
plexus
and
required
surgical
intervention
.
Athletic
trainers
and
physicians
need
to
be
aware
of
the
anatomic
variations
of
the
brachial
plexus
when
evaluating
and
caring
for
patients
with
suspected
brachial
plexus
radiculopathies
.
Diseases
Validation
Diseases presenting
"a brachial plexus traction injury"
symptom
thoracic outlet syndrome
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