title: Atrophy of the brachialis muscle after a displaced clavicle fracture in an Ironman triathlete: case report.
abstract: Clavicle fractures are frequent injuries in athletes and midshaft clavicle fractures in particular are well-known injuries in Ironman triathletes. In 2000, Auzou et al. described the mechanism leading to an isolated truncular paralysis of the musculocutaneous nerve after a shoulder trauma. It is well-known that nerve palsies can lead to an atrophy of the associated muscle if they persist for months or even longer. In this case report we describe a new case of an Ironman triathlete suffering from a persistent isolated atrophy of the brachialis muscle. The atrophy occurred following a displaced midshaft clavicle fracture acquiring while falling off his bike after hitting a duck during a competition.
authors.affiliation: Institute of General Practice and Health Services Research, University of Zurich, Pestalozzistrasse 24, CH-8091 Zurich, Switzerland. christoph.ruest@uzh.ch.
authors.forename: Christoph Alexander
authors.initials: CA
authors.lastname: Rüst
authors.forename: Beat
authors.initials: B
authors.lastname: Knechtle
authors.forename: Patrizia
authors.initials: P
authors.lastname: Knechtle
authors.forename: Thomas
authors.initials: T
authors.lastname: Rosemann