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Brachial Plexus Injury “Stinger”. A Case Study Presented By: Whitney Wiles, ATC. Stinger. Athlete 15 year old male Football Player Linebacker No history of neck problems No history of “Stingers”. Mechanism of Injury Direct hit to Anterior Shoulder. Stinger. Signs and Symptoms
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Brachial Plexus Injury “Stinger” A Case Study Presented By: Whitney Wiles, ATC
Stinger • Athlete • 15 year old male • Football Player • Linebacker • No history of neck problems • No history of “Stingers” • Mechanism of Injury • Direct hit to Anterior Shoulder.
Stinger • Signs and Symptoms • Pain • Numbness • Tingling • Swelling into hand • Discoloration of fingers • Initial Treatment • Ice • Elevation of Hand • Check Pulses • Check Distal Neurovascular Response (Nail bed refill)
Stinger • Symptoms did not resolve with initial treatment • Referred to SHIFT-Patewood per Dr. Wyland. • SHIFT • X-ray • Shoulder • Hand • Referred to Dr. Baird for follow-up the next day at Steadman Hawkins-Spartanburg.
Stinger • SHCC-Spartanburg • Findings • Improving parathesis and shoulder pain • Dx: Stinger with Contusion • X-Ray • Shoulder • Cervical Spine • Plan • No contact until all symptoms have resolved • Refer for MRI if still symptomatic in a week. • Conclusion • Athlete was asymptomatic at follow up appointment. • Athlete missed approximately one week of participation.