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J Am Acad Orthop Surg, Vol 15, No 4, April 2007, 249-256.
© 2007 the American Academy of Orthopaedic Surgeons
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Neurovascular Injuries to the Athlete’s Shoulder: Part I

Soheil M. Aval, MD, Pierre Durand, Jr, MD and James A. Shankwiler, MD

Dr. Aval is in private practice, Los Angeles, CA. Dr. Durand is in private practice, Thousand Oaks, CA. Dr. Shankwiler is Clinical Professor of Orthopaedics, Department of Orthopaedic Surgery, University of Southern California, Los Angeles.

None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Aval, Dr. Durand, and Dr. Shankwiler.

Reprint requests: Dr. Shankwiler, Congress Medical Associates, 39 Congress Street, Suite #201, Pasadena, CA 91105.

The neurovascular structures traversing the shoulder region can be compromised in a number of ways. Athletes are particularly at risk of neurovascular injury to the shoulder as the result of extreme force and stress on the shoulder girdle. Many such injuries have been described in the literature as cervical radiculitis, spinal accessory nerve injury, long thoracic nerve palsy, burner (stinger) syndrome, and brachial neuritis. A high index of diagnostic acumen and proper selection of clinical assessment and imaging techniques are needed to diagnose such injuries.




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S. M. Aval, P. Durand Jr, and J. A. Shankwiler
Neurovascular Injuries to the Athlete's Shoulder: Part II
J. Am. Acad. Ortho. Surg., May 1, 2007; 15(5): 281 - 289.
[Abstract] [Full Text] [PDF]


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Copyright © 2007 by the American Academy of Orthopaedic Surgeons.