Challenge of the Week / Sports / 08.13.2021

A 20-year-old male patient who is a college football player tells his trainer he had a “stinger” from the last play. He has had one prior stinger this season and one several years ago while in high school. On examination, he has weakness of his right hand and decreased sensation in a nondermatomal distribution. The remainder of the neurological examination is normal, and he has full neck range of motion without pain. Which of the following actions would be appropriate?
    • Apply a cervical collar and transfer him to the local emergency department for further imaging and observation.
    • A stinger should resolve without aggressive measures

 

    • Withhold him from play until his motor examination returns to normal.
    • A player may return to play following a stinger injury if he has full neck and shoulder range of motion and strength in the upper extremities.

 

    • Withhold him from play and obtain electromyography to further evaluate the brachial plexus.
    • A stinger should resolve without aggressive measures

 

    • Allow him to return to play immediately.
    • A player may return to play following a stinger injury if he has full neck and shoulder range of motion and strength in the upper extremities.

 

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