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October 20, 1978

Extreme Remedy

Author Affiliations

Portland, Ore

JAMA. 1978;240(17):1855. doi:10.1001/jama.1978.03290170037011

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To the Editor.—  Reports of exotic traumatic neuropathies have long been a favorite in the Letters section of The Journal. The following case deals with the common problem of a stretch injury to the brachial plexus and is reported to illustrate a practical consideration in the management of this disorder.

Report of a Case.—  A vigorous 76-year-old left-handed woman was vacationing in Hawaii with her husband when she was injured. She was standing in a park holding a map when a gust of wind blew the map from her hand. She reached out to grab it and tripped over a tree root, landing on her chest and out-stretched left upper extremity. Contusions to the chest wall were painful initially. About three days later she first noted severe aching pain down the entire lateral aspect of the left upper extremity, as well as numbness and tingling down the lateral left forearm