Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 3 , Pages 402-406, March 2009

Expert Opinion and Controversies in Musculoskeletal and Sports Medicine: Stingers

Departments of Rehabilitation Medicine, Orthopaedics and Sports Medicine, and Neurological Surgery, University of Washington, Seattle, WA

Abstract 

Standaert CJ, Herring SA. Expert opinion and controversies in musculoskeletal and sports medicine: stingers.

Stingers are a common injury in contact sports and are characterized by acute lancinating pain in 1 upper extremity with or without associated weakness and neck pain. Appropriate on-field evaluation is necessary to identify the extent of injury and rule out structural injuries to the head, spine, or shoulder girdle. Although athletes can often return to play after a single acute event that resolves rapidly, those who have recurrent events, persisting pain, or strength deficits require a thorough diagnostic evaluation before return-to-play decisions can be made. In some circumstances, players sustaining a single stinger or multiple recurrent stingers may be permanently removed from participation in collision or contact sports.

Key Words: Neck pain, Radiculopathy, cervical, Brachial plexus, Sports medicine, Rehabilitation

List of Abbreviations: CT, computed tomography, EDX, electrodiagnostic studies/electrodiagnosis, MRI, magnetic resonance imaging, ROM, range of motion, RTP, return-to-play

 

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

 Reprints are not available from the authors.

PII: S0003-9993(08)01702-4

doi:10.1016/j.apmr.2008.09.569

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 3 , Pages 402-406, March 2009