Document Detail


Conservative management of posterior interosseous neuropathy in an elite baseball pitcher's return to play: a case report and review of the literature.
MedLine Citation:
PMID:  20037695     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
This report documents retrospectively a case of Posterior Interosseous Neuropathy (PIN) occurring in an elite baseball pitcher experiencing a deep ache in the radial aspect of the forearm and altered sensation in the dorsum of the hand on the throwing arm during his pitching motion. The initial clinical goal was to control for inflammation to the nerve and muscle with active rest, microcurrent therapy, low-level laser therapy, and cessation of throwing. Minimizing mechanosensitivity at the common extensor region of the right elbow and PIN, was achieved by employing the use of myofascial release and augmented soft tissue mobilization techniques. Neurodynamic mobilization technique was also administered to improve neural function. Implementation of a sport specific protocol for the purposes of maintaining throwing mechanics and overall conditioning was utilized. Successful resolution of symptomatology and return to pre-injury status was achieved in 5 weeks. A review of literature and an evidence-based discussion for the differential diagnoses, clinical examination, diagnosis, management and rehabilitation of PIN is presented.
Authors:
Andrew Robb; Sandy Sajko
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of the Canadian Chiropractic Association     Volume:  53     ISSN:  0008-3194     ISO Abbreviation:  J Can Chiropr Assoc     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-28     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  7507184     Medline TA:  J Can Chiropr Assoc     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  300-10     Citation Subset:  -    
Affiliation:
Division of Graduate Studies, Sports Sciences, Canadian Memorial Chiropractic College. Tel: 416.482.2340. Email: arobb@cmcc.ca.
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