Recurrent stingers in an adolescent American football player: dilemmas of return to play. A case report and review of the literature

Res Sports Med. 2017 Jul-Sep;25(3):384-390. doi: 10.1080/15438627.2017.1314297. Epub 2017 Apr 10.

Abstract

We present the case of a 16-year-old football linebacker with a history of recurrent stingers. Initial physical examination was normal as were cervical spine radiographs. MRI of the cervical spine revealed relative stenosis. Electrodiagnostic testing revealed chronic bilateral neurogenic changes of the superior trunk of the brachial plexus. A Kerr Collar was obtained to minimize head acceleration and force transmission through the neck. While there are return-to-play guidelines for recurrent stingers, there are inconsistencies with those recommendations. Our case highlights the challenges in contact sport athletes with recurrent stingers.

Keywords: Stinger; burner; neuropraxia; recurrent; repeated.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Athletic Injuries / diagnosis*
  • Athletic Injuries / pathology*
  • Braces
  • Brachial Plexus / injuries*
  • Cervical Vertebrae / diagnostic imaging
  • Football / injuries*
  • Humans
  • Male
  • Radiography
  • Return to Sport