Subacromial impingement in patients with whiplash injury to the cervical spine

نویسندگان

  • Ali Abbassian
  • Grey E Giddins
چکیده

BACKGROUND Impingement syndrome and shoulder pain have been reported to occur in a proportion of patients following whiplash injuries to the neck. In this study we aim to examine these findings to establish the association between subacromial impingement and whiplash injuries to the cervical spine. METHODS AND RESULTS We examined 220 patients who had presented to the senior author for a medico-legal report following a whiplash injury to the neck. All patients were assessed for clinical evidence of subacromial impingement. 56/220 patients (26%) had developed shoulder pain following the injury; of these, 11/220 (5%) had clinical evidence of impingement syndrome. Only 3/11 patients (27%) had the diagnosis made prior to evaluation for their medico-legal report. In the majority, other clinicians had overlooked the diagnosis. The seatbelt shoulder was involved in 83% of cases (p < 0.03). CONCLUSION After a neck injury a significant proportion of patients present with shoulder pain, some of whom have treatable shoulder pathology such as impingement syndrome. The diagnosis is, however, frequently overlooked and shoulder pain is attributed to pain radiating from the neck resulting in long delays before treatment. It is important that this is appreciated and patients are specifically examined for signs of subacromial impingement after whiplash injuries to the neck. Direct seatbelt trauma to the shoulder is one possible explanation for its aetiology.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Long-term disability after neck injury. a comparative study.

Claims for personal injury after whiplash injury cost the economy of the United Kingdom more than pound 3 billion per year, yet only very few patients have radiologically demonstrable pathology. Those sustaining fractures of the cervical spine have been subjected to greater force and may reasonably be expected to have worse symptoms than those with whiplash injuries. Using the neck disability i...

متن کامل

Impairment of proprioception after whiplash injury.

Whiplash injury usually occurs in traffic accidents. Persons experienced this injury might have an impairment of proprioception clinically expressed as inability to determine the exact position of their heads. The aim of this study was to examine the loss of proprioception in people who had a whiplash injury. The study included 60 subjects with cervical spine injury, aged 20 to 50 years and 60 ...

متن کامل

Cervical spine curvature during simulated whiplash.

OBJECTIVE To develop a new method to describe cervical spine curvature and evaluate the potential for injury in the upper and lower cervical spine during simulated whiplash. DESIGN A method was developed to integrate the upper and lower cervical spine rotations and describe the spine curvature. BACKGROUND In vivo and in vitro whiplash simulations have documented the development of an S-shap...

متن کامل

Influence of whiplash injury on cervical spine stability.

The aim of this study was to define the influence of whiplash injury on cervical spine stability. The study involved 72 patients who had suffered from sprain injury to cervical spine of 0⁰-III⁰ according to QTF. To verify the results the authors examined the control group whose representatives have never suffered from any cervical spine injury and met all the exclusion criteria. Conventional pl...

متن کامل

Injury mechanisms of the cervical intervertebral disc during simulated whiplash.

STUDY DESIGN A kinematic analysis of cervical intervertebral disc deformation during simulated whiplash using the whole cervical spine with muscle force replication model was performed. OBJECTIVES To quantify anulus fibrosus fiber strain, disc shear strain, and axial disc deformation in the cervical spine during simulated whiplash. SUMMARY OF BACKGROUND DATA Clinical studies have documented...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Journal of Orthopaedic Surgery and Research

دوره 3  شماره 

صفحات  -

تاریخ انتشار 2008