{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,21]],"date-time":"2025-09-21T17:51:32Z","timestamp":1758477092082,"version":"3.41.0"},"reference-count":44,"publisher":"National Athletic Trainers' Association","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,10,1]]},"abstract":"<jats:sec>\n                  <jats:title>Objective:<\/jats:title>\n                  <jats:p>To present the unique case of a collegiate wrestler with C7 neurologic symptoms due to T1\u2013T2 disc herniation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Background:<\/jats:title>\n                  <jats:p>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 C7 distribution of his left upper extremity. He was evaluated further by the team physician, a primary care physician, and a neurosurgeon.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Differential Diagnosis:<\/jats:title>\n                  <jats:p>Cervical spine injury, stinger\/burner, peripheral nerve injury, spinal cord injury, thoracic outlet syndrome, brachial plexus radiculopathy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Treatment:<\/jats:title>\n                  <jats:p>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 T1\u2013T2 disc herniation. The patient underwent surgery to resolve the symptoms and enable him to participate for the remainder of the wrestling season.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Uniqueness:<\/jats:title>\n                  <jats:p>Whereas brachial plexus radiculopathy commonly is seen in collision sports, a postfixed brachial plexus in which the T2 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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions:<\/jats:title>\n                  <jats:p>The injury sustained by the wrestler appeared to be C7 radiculopathy due to a brachial plexus traction injury. However, it ultimately was diagnosed as radiculopathy due to a T1\u2013T2 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.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4085\/1062-6050-48.5.03","type":"journal-article","created":{"date-parts":[[2013,8,16]],"date-time":"2013-08-16T15:32:27Z","timestamp":1376667147000},"page":"710-715","source":"Crossref","is-referenced-by-count":9,"title":["Postfixed Brachial Plexus Radiculopathy Due to Thoracic Disc Herniation in a Collegiate Wrestler: A Case Report"],"prefix":"10.4085","volume":"48","author":[{"given":"Scott A.","family":"Kuzma","sequence":"first","affiliation":[{"name":"Medical College of Wisconsin, Milwaukee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott T.","family":"Doberstein","sequence":"first","affiliation":[{"name":"University of Wisconsin\u2013La Crosse"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David R.","family":"Rushlow","sequence":"first","affiliation":[{"name":"Mayo Clinic Health System Franciscan Healthcare, La Crosse, WI"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2557","reference":[{"issue":"5","key":"2020060411104662400_i1062-6050-48-5-710-b01","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1177\/036354657700500508","article-title":"Upper trunk brachial plexus injuries in contact sports","volume":"5","author":"Clancy","year":"1977","journal-title":"Am J Sports Med"},{"issue":"1","key":"2020060411104662400_i1062-6050-48-5-710-b02","first-page":"43","article-title":"Unilateral cervical nerve injuries: brachial plexopathies","volume":"6","author":"Olson","year":"2007","journal-title":"Curr Sports Med Rep"},{"issue":"1 suppl 1","key":"2020060411104662400_i1062-6050-48-5-710-b03","first-page":"S28","article-title":"Cervical radiculopathy: pathophysiology, presentation, and clinical evaluation","volume":"60","author":"Abbed","year":"2007","journal-title":"Neurosurgery"},{"key":"2020060411104662400_i1062-6050-48-5-710-b04","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1016\/B978-1-4160-4007-1.50136-X","article-title":"Plexopathy: brachial","author":"Ensrud","year":"2008","journal-title":"Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. 2nd ed"},{"issue":"5","key":"2020060411104662400_i1062-6050-48-5-710-b05","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1002\/mus.20131","article-title":"Brachial plexopathies: classification, causes, and consequences","volume":"30","author":"Ferrante","year":"2004","journal-title":"Muscle Nerve"},{"issue":"4","key":"2020060411104662400_i1062-6050-48-5-710-b06","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1056\/NEJMcp043887","article-title":"Clinical practice: cervical radiculopathy","volume":"353","author":"Carette","year":"2005","journal-title":"N Engl J Med"},{"key":"2020060411104662400_i1062-6050-48-5-710-b07","first-page":"9","article-title":"Practical anatomy, clinical assessment, and surgical exposure","volume":"vol 14","author":"Boome","year":"1997","journal-title":"The Brachial Plexus"},{"key":"2020060411104662400_i1062-6050-48-5-710-b08","first-page":"297","article-title":"Brachial plexus","author":"Hentz","year":"2003","journal-title":"Surgical Anatomy of the Hand and Upper Extremity"},{"key":"2020060411104662400_i1062-6050-48-5-710-b09","unstructured":"Moore\n              KL, \n            \n              Dalley\n              AF, \n            \n              Agur\n              AMR. \n          \n          Clinically Oriented Anatomy. 6th ed. 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