Peripheral nerve injuries in athletes affect the upper limb more commonly than the lower limb. Common mechanisms include compression, traction, laceration, and ischemia. Specific sports can have unique mechanisms of injury and are more likely to be associated with certain neuropathies. Familiarity with these sport-specific variables and recognition of the common presentations of upper limb neuropathic syndromes are important in assessing an athlete with a suspected peripheral nerve injury. Evaluation may require imaging modalities and/or electrodiagnostic testing to confirm a nerve injury. In some cases, diagnostic injections may be needed to differentiate neuropathic versus musculoskeletal etiology. Early and accurate diagnosis is essential for treatment/management and increases the likelihood of a safe return-to-sport and avoidance of long-term functional consequences. Most nerve injuries can be treated conservatively, however, severe or persistent cases may require surgical intervention. This monograph reviews key diagnostic, management, and preventative strategies for sports-related peripheral nerve injuries involving the upper limb.

中文翻译：

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运动相关的上肢周围神经损伤

运动员的周围神经损伤上肢比下肢更常见。常见机制包括压迫、牵引、撕裂和缺血。特定的运动可能具有独特的损伤机制，并且更有可能与某些神经病相关。熟悉这些运动特定变量并认识上肢神经病理综合征的常见表现对于评估疑似周围神经损伤的运动员非常重要。评估可能需要成像方式和/或电诊断测试来确认神经损伤。在某些情况下，可能需要进行诊断性注射来区分神经性病因和肌肉骨骼病因。早期准确的诊断对于治疗/管理至关重要，并增加安全重返运动和避免长期功能后果的可能性。大多数神经损伤可以保守治疗，但是，严重或持续的病例可能需要手术干预。本专着回顾了涉及上肢的运动相关周围神经损伤的关键诊断、治疗和预防策略。