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Current Reviews in Musculoskeletal Medicine

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01-12-2020 | Hot Topics

The Prevalence and Management of Stingers in College and Professional Collision Athletes

Authors: Daniel R. Bowles, Jose A. Canseco, Tyler D. Alexander, Gregory D. Schroeder, Andrew C. Hecht, Alexander R. Vaccaro

Published in: Current Reviews in Musculoskeletal Medicine | Issue 6/2020

Abstract

Purpose of Review

Particularly common in collision sports such as American football or rugby, stingers are a traumatic transient neuropraxia of a cervical nerve root(s) or brachial plexus that may last anywhere from minutes to hours. This review summarizes the knowledge on the diagnosis and management of stingers in college and professional collision athletes by providing an overview of their epidemiology and pathophysiology, followed by a discussion on current treatment guidelines and return-to-play recommendations.

Recent Findings

Despite modifications to tackling technique, increasing awareness, and various equipment options, American football continues to have a high rate of cervical spine injuries, the majority of which occur in preseason and regular season competition settings. The incidence of stingers has slowly increased among collision athletes, and nearly half of all players report sustaining at least one stinger in their career. Recent studies have shown certain anatomical changes in the cervical spine are related to acute and reoccurring stingers. Most players who experience stingers do not miss practices or games.

Summary

Despite their prevalence, literature highlighting the impact of stingers on college and professional collision athletes is limited. Advances in imaging modalities and novel radiographic parameters have provided tools for screening athletes and can guide return-to-play decisions. Future research regarding appropriate screening practices for athletes with reoccurring stingers, use of protective equipment, and rehabilitation strategies are needed to identify predisposing factors, mitigate the risk of injury, and restore full functional strength and ability.

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Title: The Prevalence and Management of Stingers in College and Professional Collision Athletes
Authors: Daniel R. Bowles
Jose A. Canseco
Tyler D. Alexander
Gregory D. Schroeder
Andrew C. Hecht
Alexander R. Vaccaro
Publication date: 01-12-2020
Publisher: Springer US
Published in: Current Reviews in Musculoskeletal Medicine / Issue 6/2020
Electronic ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-020-09665-5

ACC 2024 Congress

Springer Medicine

The Prevalence and Management of Stingers in College and Professional Collision Athletes

Abstract

Purpose of Review

Recent Findings

Summary

ACC 2024 Congress

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

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