Brachial Plexus Palsy in Basic Trainees

Six male basic combat trainees were evaluated by the Orthopaedic Surgery Service at General Leonard Wood Army Community Hospital for upper extremity peripheral neuropathy which resulted from wearing heavy rucksacks or duffel bags. The shoulder straps of the rucksacks or duffel bags produced a mild traction injury to the C5 and C6 nerve roots, typical of Sunderland first or second degree nerve lesions. Each patient demonstrated profound motor weakness and electromyographic abnormalities. Sensory complaints were prominent but actual sensory deficits less constant. All patients improved and four were fully recovered at 10–22 weeks with conservative measures.