PEDIATRICS Vol. 56 No. 5 November 1975, pp. 822-824
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Rucksack Palsy

A. David Rothner M.D.1, Asa Wilbourn M.D.1, and Robert D. Mercer M.D.1

1 Departments of Neurology and Pediatrics and Adolescent Medicine, Cleveland Clinic Foundation, Cleveland, Ohio

In recent years there has been an increase in the use of backpacks and rucksacks by nonmilitary ary personnel. An estimated 3 million individuals engage in hiking and mountain climbing, and countless others use these packs on campus. We report a case of brachial plexus injury sustained by an individual wearing such a pack.

CASE REPORT

A 15-year-old right-handed white boy was examined for pain in the left shoulder of two weeks' duration. The youngster had been well, but two weeks' before evaluation was on a hiking expedition. During this trip he wore a rucksack which when filled weighed 20.4 kg (Fig. 1).