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<h2><strong>Title:</strong> <a href="https://umem.org/educational_pearls/4682/">Stingers</a></h2>
<p><strong>Category:</strong> <a href="https://umem.org/educational_pearls/?category=2">Orthopedics</a></p>
<p>
<strong>Posted:</strong> 12/28/2024 by <a href="https://umem.org/educational_pearls/?author=294">Brian Corwell, MD</a>
<br/>
<a href="https://umem.org/profiles/faculty/294/">Click here to contact Brian Corwell, MD</a>
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<p>A stinger is a short lived neuropraxia to the upper brachial plexus</p>
<p>Named for the temporary sensation that radiates from the shoulder to the hand</p>
<p>Can occur though 3 common mechanisms</p>
<p>Most commonly from direct traumatic or tractional injury</p>
<p><a href="https://www.physio-network.com/wp-content/uploads/2021/11/unnamed-1.png">https://www.physio-network.com/wp-content/uploads/2021/11/unnamed-1.png</a></p>
<p>Common in American Football</p>
<p>Occurs in almost 50% of players over a 4-year college career</p>
<p>Â Â Â Â Â Â Â Â Â Most commonly to running backs and linebackers in one NFL study</p>
<p>Symptoms:  Unilateral burning pain and tingling in the arm with transient weakness </p>
<p>Symptoms NOT confined to a single dermatome.</p>
<p>Usually in C5, C6 innervated muscles (deltoid and biceps).</p>
<p>Symptoms are transient usually resolving in approximately 2 minutes</p>
<p>If asked to examine someone for this at a sporting event</p>
<p>Evaluate patient for:</p>
<p>C spine tenderness</p>
<p>Full cervical range of motion</p>
<p>UNILATERAL weakness in shoulder Abductors and external rotators</p>
<p>UNILATERAL weakness in biceps</p>
<p>UNILATERAL weakness in forearm pronation</p>
<p>UNILATERAL weakness in triceps extension</p>
<p>Consider evaluation for concussion symptoms if appropriate</p>
<p>Majority of patients in college and profession sports return to play in game when exam returns to normal</p>
<h3>View this pearl on the University of Maryland, Department of Emergency Medicine's website: <a href="https://umem.org/educational_pearls/4682/">https://umem.org/educational_pearls/4682/</a></h3>
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