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Review Question - QID 3097

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QID 3097 (Type "3097" in App Search)
An 18-year-old football player comes off the field after sustaining a stinger to his right shoulder. Which of the following conditions must be met before he should be allowed to return to play?

Determine if the pain has resolved and fit the player with a protective brace

0%

11/3728

MRI of the right shoulder and neck showing no nerve root avulsions

1%

29/3728

No pain, normal sensation, demonstration of full range of motion, and 5/5 strength of the right upper extremity musculature

95%

3554/3728

Normal sensation in the right hand over the thumb, long finger, and small finger, no residual pain, and the ability to raise the right hand above his head

3%

103/3728

Normal findings on an EMG of the right shoulder and arm

0%

9/3728

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Stingers (aka burners) are thought to result from traction injuries to the brachial plexus in younger athletes and from nerve root compression in the neural foramina in older athletes. Symptoms can vary, but often involve numbness or tingling, weakness or complete inability to move the extremity, and less commonly burning pain. Stingers are usually mild and transient, and their prevalence is probably underestimated as athletes will often fail to mention them to coaches or medical staff. If they recur in a given athlete, the symptoms can become much more severe. If the symptoms do not resolve in 3 weeks, an EMG or imaging studies need to be obtained. Kasow and Curl, in their instructional course lecture, recommend return to play only after the athlete is completely asymptomatic, having regained full sensation, strength, and range of motion.

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