Patient with brachial plexopathy

Jonathan Chang, Rahul Rastogi

Research output: Chapter in Book/Report/Conference proceedingChapter


A 25-year-old male football player complains of new right upper extremity numbness and weakness. Symptoms are such that he is unable to catch an American football; however he is able to loosely hold a can of soda. He states the symptoms started after a motorcycle accident 1 week ago and have got worse. The pain from the accident has improved, but the numbness and weakness are unchanged and a little worse. The patient rates his pain at a 3/10 with radiation down his arm from his shoulder to his fingers. Physical exam is remarkable for a well-developed male with prominent upper-bodymusculature. There is no noted edema, cyanosis, or clubbing of the upper extremity. There are equal strong bilateral radial pulses, 2+ biceps reflexes on the left, 5/5 strength of the left upper extremity, 1+ biceps reflex on the right, 3/5 shoulder abduction, 3/5 biceps flexion, 3/5wrist extension, and 4/5 strength to the intrinsic muscles of the hand. Tinel's sign is negative, bilaterally.

Original languageEnglish (US)
Title of host publicationCase Studies in Pain Management
PublisherCambridge University Press
Number of pages8
ISBN (Electronic)9781107281950
ISBN (Print)9781107682894
StatePublished - Jan 1 2014

ASJC Scopus subject areas

  • Medicine(all)


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