Upper Limb Nerve Injuries in Sport

  • Jennette Sze-yan Chan
  • Josephine Wing-yuk Ip


Nerve injury in sports is not very frequent. According to the report of the Japanese Athletic Association in 1971, peripheral nerve injuries accounted for only 0.3% of sports injuries. Among all peripheral nerve injuries treated in their centre within 18 years, 5.7% were related to sports. The nerves most frequently involved were brachial plexus, radial nerve and ulnar, peroneal and axillary nerves in order of frequency (Takazawa et al., Brain Nerve Inj 3:11–17, 1971). The common mechanisms of injury were compression, traction, ischaemia and laceration (Feinberg et al., Sports Med 24:385–408, 1997).


  1. 1.
    Takazawa H, Sudo N, Aoki K, et al. Statistical observation of nerve injuries in athletics in Japanese. Brain Nerve Inj. 1971;3:11–7.Google Scholar
  2. 2.
    Feinberg JH, Nadler SF, Krivickas LS. Peripheral nerve injuries in the athlete. Sports Med. 1997;24(6):385–408.CrossRefGoogle Scholar
  3. 3.
    Olivo R, Tsao B. Peripheral nerve injuries in sport. Neurol Clin. 2017;35(3):559–72. Scholar
  4. 4.
    Charbonneau RM, McVeigh SA, Thompson K. Brachial neuropraxia in Canadian Atlantic University sport football players: what is the incidence of "stingers"? Clin J Sport Med. 2012;22(6):472–7.CrossRefGoogle Scholar
  5. 5.
    Starr HM Jr, Anderson B, Courson R, Seiler JG. Brachial plexus injury: a descriptive study of American football. J Surg Orthop Adv. 2014;23(2):90–7.CrossRefGoogle Scholar
  6. 6.
    Chao S, Pacella MJ, Torg JS. The pathomechanics, pathophysiology and prevention of cervical spinal cord and brachial plexus injuries in athletics. Sports Med. 2010;40(1):59–75.CrossRefGoogle Scholar
  7. 7.
    Terzis JK, Kokkalis ZT. Selective contralateral c7 transfer in posttraumatic brachial plexus injuries: a report of 56 cases. Plast Reconstr Surg. 2009;123(3):927–38.CrossRefGoogle Scholar
  8. 8.
    Bengtson KA, Spinner RJ, Bishop AT, Kaufman KR, Coleman-Wood K, Kircher MF, et al. Measuring outcomes in adult brachial plexus reconstruction. Hand Clin. 2008;24(4):401–15.CrossRefGoogle Scholar
  9. 9.
    Colbert SH, Mackinnon SE. Nerve transfers for brachial plexus reconstruction. Hand Clin. 2008;24(4):341–61.CrossRefGoogle Scholar
  10. 10.
    Amrami KK, Port JD. Imaging the brachial plexus. Hand Clin. 2005;21(1):25–37.CrossRefGoogle Scholar
  11. 11.
    Daly CA, Payne SH, Seiler JG. Severe brachial plexus injuries in American Football. Orthopedics. 2016;39(6):e1188–92.CrossRefGoogle Scholar
  12. 12.
    Witvrouw E, Cools A, Lysens R, et al. Suprascapular neuropathy in volleyball players. Br J Sports Med. 2000;34(3):174–80.CrossRefGoogle Scholar
  13. 13.
    Boykin RE, Friedman DJ, Higgins LD, Warner JJ. Suprascapular neuropathy. J Bone Joint Surg Am. 2010;92(13):2348–64.CrossRefGoogle Scholar
  14. 14.
    Ferretti A, De Carli A, Fontana M. Injury of the suprascapular nerve at the spinoglenoid notch. The natural history of infraspinatus atrophy in volleyball players. Am J Sports Med. 1998;26(6):759–63.CrossRefGoogle Scholar
  15. 15.
    Lee BC, Yegappan M, Thiagarajan P. Suprascapular nerve neuropathy secondary to spinoglenoid notch ganglion cyst: case reports and review of literature. Ann Acad Med Singapore. 2007;36(12):1032–5.PubMedGoogle Scholar
  16. 16.
    Wilk KE, Reinold MM, Andrews JR, editors. The athlete’s shoulder. 2nd ed. Philadelphia: Elsevier; 2009.Google Scholar
  17. 17.
    Perlmutter GS, Apruzzese W. Axillary nerve injuries in contact sports: recommendations for treatment and rehabilitation. Sports Med. 1998;26(5):351–61.CrossRefGoogle Scholar
  18. 18.
    Proximal neuropathies of the shoulder and arm. In: Preston DC, Shapiro BE, editors. Electromyography and neuromuscular disorders, 3rd ed. London: Elsevier Saunders; 2013.Google Scholar
  19. 19.
    Eygendaal D, Safran MR. Postero-medial elbow problems in the adult athlete. Br J Sports Med. 2006;40(5):430–4.CrossRefGoogle Scholar
  20. 20.
    Feinberg JH, et al. Ulnar nerve problems in sportsmen. Sports Med. 1997;24(6):385–408.CrossRefGoogle Scholar
  21. 21.
    Lorei MP, Hershman EB. Peripheral nerve injuries in athletes. Treatment and prevention. Sports Med. 1993;16(2):130–47.CrossRefGoogle Scholar
  22. 22.
    Apfelberg DB, Larson SJ. Dynamic anatomy of the ulnar nerve at the elbow. Plast Reconstr Surg. 1973;51:76–8.CrossRefGoogle Scholar
  23. 23.
    Miller MD, Thompson SR, editors. DeLee & Drez’s orthopaedic sports medicine. 4th ed. Philadelphia: Elsevier/Saunders; 2015.Google Scholar
  24. 24.
    Aldekhayel S, Govshievich A, Lee J, Tahiri Y, Luc M. Endoscopic versus open cubital tunnel release: a systematic review and meta-analysis. Hand. 2016;11(1):36–44.CrossRefGoogle Scholar
  25. 25.
    Macadam SA, et al. Simple decompression versus anterior subcutaneous and submuscular transposition of the ulnar nerve for cubital tunnel syndrome: a meta-analysis. J Hand Surg Am. 2008;33(8):1314.e1–12.CrossRefGoogle Scholar
  26. 26.
    O’Driscoll SW, Jaloszynski R, Morrey BF, An K-N. Origin of the medial ulnar collateral ligament. J Hand Surg Am. 1992;17:164–8.CrossRefGoogle Scholar
  27. 27.
    Fuss FK, Wagner TF. Biomechanical alterations in the carpal arch and hand muscles after carpal tunnel release: a further approach toward understanding the function of the flexor retinaculum and the cause of postoperative grip weakness. Clin Anat. 1996;9:100–8.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Jennette Sze-yan Chan
    • 1
  • Josephine Wing-yuk Ip
    • 1
  1. 1.Department of Orthopaedics and TraumatologyThe University of Hong Kong, Queen Mary HospitalPok Fu LamHong Kong

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