Cargando…
Brachial Plexus Injuries in Sport Medicine: Clinical Evaluation, Diagnostic Approaches, Treatment Options, and Rehabilitative Interventions
The brachial plexus represents a complex anatomical structure in the upper limb. This “network” of peripheral nerves permits the rearrangement of motor efferent fibers, coming from different spinal nerves, in several terminal branches directed to upper limb muscles. Moreover, afferent information co...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7739249/ https://www.ncbi.nlm.nih.gov/pubmed/33467238 http://dx.doi.org/10.3390/jfmk5020022 |
_version_ | 1783623293916413952 |
---|---|
author | Belviso, Immacolata Palermi, Stefano Sacco, Anna Maria Romano, Veronica Corrado, Bruno Zappia, Marcello Sirico, Felice |
author_facet | Belviso, Immacolata Palermi, Stefano Sacco, Anna Maria Romano, Veronica Corrado, Bruno Zappia, Marcello Sirico, Felice |
author_sort | Belviso, Immacolata |
collection | PubMed |
description | The brachial plexus represents a complex anatomical structure in the upper limb. This “network” of peripheral nerves permits the rearrangement of motor efferent fibers, coming from different spinal nerves, in several terminal branches directed to upper limb muscles. Moreover, afferent information coming from different cutaneous regions in upper limb are sorted in different spinal nerves through the brachial plexus. Severe brachial plexus injuries are a rare clinical condition in the general population and in sport medicine, but with dramatic consequences on the motor and sensory functions of the upper limb. In some sports, like martial arts, milder injuries of the brachial plexus can occur, with transient symptoms and with a full recovery. Clinical evaluation represents the cornerstone in the assessment of the athletes with brachial plexus injuries. Electrodiagnostic studies and imaging techniques, like magnetic resonance and high-frequency ultrasound, could be useful to localize the lesion and to define an appropriate treatment and a functional prognosis. Several conservative and surgical techniques could be applied, and multidisciplinary rehabilitative programs could be performed to guide the athlete toward the recovery of the highest functional level, according to the type of injury. |
format | Online Article Text |
id | pubmed-7739249 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-77392492021-01-13 Brachial Plexus Injuries in Sport Medicine: Clinical Evaluation, Diagnostic Approaches, Treatment Options, and Rehabilitative Interventions Belviso, Immacolata Palermi, Stefano Sacco, Anna Maria Romano, Veronica Corrado, Bruno Zappia, Marcello Sirico, Felice J Funct Morphol Kinesiol Review The brachial plexus represents a complex anatomical structure in the upper limb. This “network” of peripheral nerves permits the rearrangement of motor efferent fibers, coming from different spinal nerves, in several terminal branches directed to upper limb muscles. Moreover, afferent information coming from different cutaneous regions in upper limb are sorted in different spinal nerves through the brachial plexus. Severe brachial plexus injuries are a rare clinical condition in the general population and in sport medicine, but with dramatic consequences on the motor and sensory functions of the upper limb. In some sports, like martial arts, milder injuries of the brachial plexus can occur, with transient symptoms and with a full recovery. Clinical evaluation represents the cornerstone in the assessment of the athletes with brachial plexus injuries. Electrodiagnostic studies and imaging techniques, like magnetic resonance and high-frequency ultrasound, could be useful to localize the lesion and to define an appropriate treatment and a functional prognosis. Several conservative and surgical techniques could be applied, and multidisciplinary rehabilitative programs could be performed to guide the athlete toward the recovery of the highest functional level, according to the type of injury. MDPI 2020-03-30 /pmc/articles/PMC7739249/ /pubmed/33467238 http://dx.doi.org/10.3390/jfmk5020022 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Belviso, Immacolata Palermi, Stefano Sacco, Anna Maria Romano, Veronica Corrado, Bruno Zappia, Marcello Sirico, Felice Brachial Plexus Injuries in Sport Medicine: Clinical Evaluation, Diagnostic Approaches, Treatment Options, and Rehabilitative Interventions |
title | Brachial Plexus Injuries in Sport Medicine: Clinical Evaluation, Diagnostic Approaches, Treatment Options, and Rehabilitative Interventions |
title_full | Brachial Plexus Injuries in Sport Medicine: Clinical Evaluation, Diagnostic Approaches, Treatment Options, and Rehabilitative Interventions |
title_fullStr | Brachial Plexus Injuries in Sport Medicine: Clinical Evaluation, Diagnostic Approaches, Treatment Options, and Rehabilitative Interventions |
title_full_unstemmed | Brachial Plexus Injuries in Sport Medicine: Clinical Evaluation, Diagnostic Approaches, Treatment Options, and Rehabilitative Interventions |
title_short | Brachial Plexus Injuries in Sport Medicine: Clinical Evaluation, Diagnostic Approaches, Treatment Options, and Rehabilitative Interventions |
title_sort | brachial plexus injuries in sport medicine: clinical evaluation, diagnostic approaches, treatment options, and rehabilitative interventions |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7739249/ https://www.ncbi.nlm.nih.gov/pubmed/33467238 http://dx.doi.org/10.3390/jfmk5020022 |
work_keys_str_mv | AT belvisoimmacolata brachialplexusinjuriesinsportmedicineclinicalevaluationdiagnosticapproachestreatmentoptionsandrehabilitativeinterventions AT palermistefano brachialplexusinjuriesinsportmedicineclinicalevaluationdiagnosticapproachestreatmentoptionsandrehabilitativeinterventions AT saccoannamaria brachialplexusinjuriesinsportmedicineclinicalevaluationdiagnosticapproachestreatmentoptionsandrehabilitativeinterventions AT romanoveronica brachialplexusinjuriesinsportmedicineclinicalevaluationdiagnosticapproachestreatmentoptionsandrehabilitativeinterventions AT corradobruno brachialplexusinjuriesinsportmedicineclinicalevaluationdiagnosticapproachestreatmentoptionsandrehabilitativeinterventions AT zappiamarcello brachialplexusinjuriesinsportmedicineclinicalevaluationdiagnosticapproachestreatmentoptionsandrehabilitativeinterventions AT siricofelice brachialplexusinjuriesinsportmedicineclinicalevaluationdiagnosticapproachestreatmentoptionsandrehabilitativeinterventions |