Brachial Plexus Palsy in Basic Trainees

Wilson, W. James

doi:10.1093/milmed/152.10.519

Cited by 29 publications

(24 citation statements)

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“…Other authors have reported this injury during load carriage marches and the shoulder girdle and elbow flexors are the most common sites affected. Reported symptoms include paresthesias, numbness and weakness secondary to compression of the upper trunk of the brachial plexus (6,21). Factors contributing to this disorder include using rucksacks without a frame or hipbelt, and carrying heavy packs (6).…”

Section: Discussionmentioning

confidence: 99%

Prolonged Treadmill Load Carriage: Acute Injuries and Changes in Foot Anthropometry

Reynolds¹,

Kaszuba²,

Mello³

et al. 1990

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Section: Discussionmentioning

confidence: 99%

Prolonged Treadmill Load Carriage: Acute Injuries and Changes in Foot Anthropometry

Reynolds¹,

Kaszuba²,

Mello³

et al. 1990

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“…Brachial plexus palsy (also known as ruck sack/backpack palsy) is a debilitating injury associated with heavy load carriage activities (Charteris, 2000;Corkill, Liberman, & Taylor, 1980;Knapik et al, 2004;Makela, Ramstad, Mattila, & Pihlajamaki, 2006;Maurya, Singh, Bhandari, & Bhatti, 2009) and, as such, most reported cases occur in military personnel (Wilson, 1987). The mechanism of brachial plexus palsy has been postulated as a traction or compression injury to the C5 and C6 nerve routes caused by backpack straps exerting a heavy downward pressure in the region of the upper trunk of the brachial plexus (Corkill et al, 1980;Drye & Zachazewski, 1996;Kawabata, 2000;Knapik et al, 2004;Makela et al, 2006;Reid, 1992).…”

Section: Brachial Plexus Palsy Associated With Load Carriagementioning

confidence: 99%

Soldier occupational load carriage: a narrative review of associated injuries

Orr

Pope

Johnston

et al. 2013

International Journal of Injury Control and Safety Promotion

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This narrative review examines injuries sustained by soldiers undertaking occupational load carriage tasks. Military soldiers are required to carry increasingly heavier occupational loads. These loads have been found to increase the physiological cost to the soldier and alter their gait mechanics. Aggregated research findings suggest that the lower limbs are the most frequent anatomical site of injury associated with load carriage. While foot blisters are common, other prevalent lower limb injuries include stress fractures, knee and foot pain, and neuropathies, like digitalgia and meralgia. Shoulder neuropathies (brachial plexus palsy) and lower back injuries are not uncommon. Soldier occupational load carriage has the potential to cause injuries that impact on force generation and force sustainment. Through understanding the nature of these injuries targeted interventions, like improved physical conditioning and support to specialised organisations, can be employed.

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“…Compression of the brachial plexus by the shoulder straps of the rucksack can result in weakness, pain, paraesthesia and numbness in the upper extremities and this may limit throwing ability (3,51). Local fatigue of the back and shoulder has been cited as a limiting factor in load carriage (18).…”

Section: Performance Testsmentioning

confidence: 99%