II. Symptoms: Collison injury in Contact Sports

  1. Sensation of "jammed neck" for days to weeks

III. Symptoms: Whiplash

  1. Neck Pain
  2. Headache
  3. Loss of concentration
  4. Arm Paresthesias (24%)
  5. Dizziness (24%)
  6. Fatigue (19%)

IV. Signs: Red flags suggestive of serious injury

  1. See Neck Pain Causes
  2. See Cervical Spine Injury
  3. Asymmetry of rotation
  4. Decreased cervical range of motion
  5. Pain over single spinous process
  6. Unrelenting Neck Pain
  7. Weakness or paralysis
  8. Loss of movement or Bladder function
  9. Violent axial loading or rotation mechanism of injury

V. Signs: Limited Cervical Sprain

  1. Limited Range of Motion
    1. No pain
    2. No Paresthesias
    3. No radiculopathy
  2. Normal Neurologic Exam

VII. Management

  1. See Cervical Spine Injury
  2. Avoid home use of soft Cervical Collar for treatment
    1. Prolonged immobilization slows healing
  3. Early active range of motion of neck speeds healing
    1. Rotational Exercises 10 times per hour
    2. Start as soon as tolerated
    3. Continue for first 4 days

Images: Related links to external sites (from Bing)

Related Studies

Ontology: Neck sprain (C0027535)

Concepts Injury or Poisoning (T037)
ICD9 847.0
SnomedCT 39848009, 209563001, 269141005, 269334007, 65684000, 157304007, 209557005
English Neck sprain NOS, Neck sprain, unspecified, sprain of neck, sprain of neck (diagnosis), neck sprained, sprain neck, of neck sprain, cervical sprain, necks sprained, Sprain;neck, neck sprains, neck sprain, Acute cervical sprain, Sprain of neck, Neck sprain, unspecified (disorder), Neck sprain NOS (disorder), Sprain of neck (disorder), Sprained neck, Neck sprain (disorder), Sprain of neck, NOS, Cervical sprain, Neck Sprain, Neck sprain, sprained neck
Spanish esguince cervical agudo, Esguince de cuello, esguince del cuello, esguince de cuello, SAI (trastorno), estrema del cuello, esguince del cuello (trastorno), esguince de cuello, SAI, esguince de cuello, no especificado (trastorno), esguince de cuello, no especificado, esguince de cuello (trastorno), esguince de cuello
Portuguese Entorse do pescoço
Dutch nekverstuiking
French Entorse du cou
German Nackenverstauchung
Hungarian Nyakhúzódás
Czech Blokáda krční páteře
Italian Distorsione del collo
Japanese 頚部捻挫, ケイブネンザ

Ontology: Whiplash Injuries (C0043145)

Definition (CHV) an injury to the neck, often the result of being struck from behind by a fast-moving vehicle
Definition (CHV) an injury to the neck, often the result of being struck from behind by a fast-moving vehicle
Definition (CHV) an injury to the neck, often the result of being struck from behind by a fast-moving vehicle
Definition (CHV) an injury to the neck, often the result of being struck from behind by a fast-moving vehicle
Definition (MSH) Hyperextension injury to the neck, often the result of being struck from behind by a fast-moving vehicle, in an automobile accident. (From Segen, The Dictionary of Modern Medicine, 1992)
Definition (PSY) Soft tissue injury of cervical spine due to sudden hyperextension or hyperflexion or hyperrotation of neck or limbs.
Concepts Injury or Poisoning (T037)
MSH D014911
SnomedCT 390011007, 209562006, 209558000, 276469007, 157304007, 269334007, 39848009
English Injuries, Whiplash, Whiplash Injuries, Whiplash Injury, Injury, Whiplash, Accelerat-decelerat injry neck, whiplash, INJ WHIPLASH, WHIPLASH INJ, Whiplash Injuries [Disease/Finding], whiplash injuries, whiplash injury, whiplash neck injury, Injury;neck;whiplash, Whiplash injury (disorder), Whiplash injuries, Whiplash injury to neck, Whiplash injury, Acceleration-deceleration injury of neck, Whiplash injury to neck (disorder), injury; whiplash, whiplash; injury, Whiplash injury [Ambiguous], Whiplash, whiplash injury to the neck, Whiplash injury;neck
French Lésions traumatiques du rachis cervical par impact postérieur, Lésions post-traumatiques du rachis cervical par impact postérieur, Traumatismes cervicaux en coup de fouet, Traumatisme cervical en coup de fouet, Coup du lapin, Coup de fouet cervical antéro-postérieur, Coup de fouet cervical antéropostérieur, Coup de fouet cervical, Coups de fouet cervicaux, Traumatismes du rachis cervical par impact postérieur
Swedish Pisksnärtskador
Czech whiplash poranění, Whiplash injury, Poranění krční páteře z prudké extenze a flexe, bičové trauma
Finnish Piiskaniskuvammat
Russian TRAVMY KHLYSTOVYE, KHLYSTOVYE TRAVMY, ТРАВМЫ ХЛЫСТОВЫЕ, ХЛЫСТОВЫЕ ТРАВМЫ
Spanish estrema cervical agudo, lesión de latigazo cervical, Traumatismo por hiperextensión cervical, Lesión traumática del cuello por efecto de látigo, Lesiones por Latigazo, lesión traumática del cuello por hiperflexión - hiperextensión (trastorno), lesión traumática del cuello por hiperflexión - hiperextensión, Lesiones por Latigazo Cervical
Croatian VRATNA KRALJEŽNICA, TRZAJNE OZLJEDE
Polish Urazy typu whiplash, Urazy typu smagnięcie biczem
Japanese 過屈曲過伸展損傷, むち打ち損傷, 頚部のむち打ち損傷, ケイブノムチウチソンショウ, ムチウチソンショウ, むち打ち傷害, 鞭打ち損傷, 鞭打ち症候群, 鞭打症, むちうち, むち打ち症, むち打ち症候群, むち打損傷, 鞭打ち傷害, 鞭打ち症
Portuguese Lesão traumática em chicotada, Lesão traumática do pescoço em chicotada, Lesões em Chicotada, Traumatismos em Chicotada
Dutch whiplashletsel, whiplashletsel van nek, letsel; whiplash, whiplash; letsel, Trauma, whiplash-, Traumata, whiplash-, Whiplashtrauma, Whiplashtraumata
German Schleudertrauma des Halses, Schleudertrauma
Hungarian Nyak ostorcsapás-sérülése, Ostorcsapás sérülés
Italian Lesione da colpo di frusta, Lesione cervicale da colpo di frusta, Lesioni da colpo di frusta
Norwegian Whiplashskader, Nakkeslengskader

Ontology: Strain of neck muscle (C0262573)

Concepts Injury or Poisoning (T037)
SnomedCT 262964005, 209558000, 360450007
English Strain of neck muscle, neck strain, neck strain (diagnosis), muscle neck strains, neck strains, muscles neck strained, neck strained, strain muscle neck, Strain;neck, cervical strain, neck muscle strain, strain neck, Neck sprain, unspecified, Neck strain, Cervical strain, Strain of neck muscle (disorder), Strain of neck muscle [Ambiguous]
Spanish Distensión cervical, distensión de músculo del cuello (trastorno), distensión de músculo del cuello
Portuguese Distensão cervical
Dutch nekspierverrekking
Italian Stiramento del collo
French Foulure du cou
German Verspannung im Halsbereich
Czech Namožení svalů krku
Japanese ケイブニクバナレ, 頚部肉離れ
Hungarian Nyak megerőltetése