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Cervical Ligamentous Instability

Symptoms and signs
1. Mild neck pain
2. Sensation of giving way with certain range of motion
3. Provoked with flexion and extension
4. Neurologic dysfunction varies
5. Fracture may be present
Radiology: Contraindications to flexion extension views
1. Suspected cervical Fracture
2. Subluxation
Management: Return to play parameters
1. Relative contraindication to contact sports
2. Must be functional in all range of motion directions
3. Absolute contraindications to contact sports
  1. Anterior translation of adjacent vertebrae >3.5 mm
  2. Rotation or angulation >11 degrees

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.