Orthopedics Book


Cervical Neck Strain

Aka: Cervical Neck Strain, Cervical Neck Sprain, Whiplash
  1. See Also
    1. Cervical Spine Injury
    2. Neck Pain
  2. Symptoms: Collison injury in Contact Sports
    1. Sensation of "jammed neck" for days to weeks
  3. Symptoms: Whiplash
    1. Neck Pain
    2. Headache
    3. Loss of concentration
    4. Arm Paresthesias (24%)
    5. Dizziness (24%)
    6. Fatigue (19%)
  4. 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
  5. Signs: Limited Cervical Sprain
    1. Limited Range of Motion
      1. No pain
      2. No Paresthesias
      3. No radiculopathy
    2. Normal Neurologic Exam
  6. Imaging
    1. See Cervical Spine Imaging
    2. See Cervical Spine Imaging in Acute Traumatic Injury
  7. 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
  8. References
    1. Eck (2001) Am J Med 110:651-6 [PubMed]

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
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
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
Derived from the NIH UMLS (Unified Medical Language System)

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