I. Symptoms: Collison injury in Contact Sports

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

II. Symptoms: Whiplash

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

III. Signs: Red flags suggestive of serious injury

  1. Asymmetry of rotation
  2. Decreased cervical range of motion
  3. Pain over single spinous process
  4. Unrelenting Neck Pain
  5. Weakness or paralysis
  6. Loss of movement or Bladder function
  7. Violent axial loading or rotation Mechanism of injury

IV. Signs: Limited Cervical Sprain

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

V. Radiology: C-Spine XRay

  1. Loss of normal cervical lordosis with neck spasm
  2. Obtain flexion and extension views
    1. Rule-out instability
  3. Abnormal translatory displacement
    1. Posterior translation > 3.5 mm adjacent Vertebrae

VI. Radiology: C-Spine MRI

  1. Not indicated if neurologic changes absent
  2. References
    1. Ronnen (1996) Radiology 201:93-6 [PubMed] (or open in [QxMD Read])

VII. Management

  1. Avoid home use of soft cervical collar for treatment
    1. Prolonged immobilization slows healing
  2. 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
  3. Early high dose Corticosteroid (within first 8 hours)
    1. Initial study shows long-term benefit

VIII. References

Images: Related links to external sites (from Google)

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, 276469007, 209562006, 39848009, 157304007, 209558000, 269334007
English Injuries, Whiplash, Whiplash Injuries, Whiplash Injury, WHIPLASH, Injury, Whiplash, Whiplash injuries, Accelerat-decelerat injry neck, Whiplash injury syndrome, whiplash, INJ WHIPLASH, WHIPLASH INJ, Whiplash injury (disorder), Whiplash Injuries [Disease/Finding], whiplash injuries, whiplash neck injury, Injury;neck;whiplash, Whiplash injury to neck, Whiplash injury, Acceleration-deceleration injury of neck, Whiplash injury to neck (disorder), whiplash injury, injury; whiplash, whiplash; injury, Whiplash injury [Ambiguous], Whiplash, whiplash injury to the neck, Whiplash injury;neck
Italian Lesione da colpo di frusta, Lesione cervicale da colpo di frusta, Lesioni da colpo di frusta
Dutch whiplashletsel van nek, letsel; whiplash, whiplash; letsel, whiplashletsel, Trauma, whiplash-, Traumata, whiplash-, Whiplashtrauma, Whiplashtraumata
German Schleudertrauma des Halses, Schleudertrauma
Portuguese Lesão traumática do pescoço em chicotada, Lesão traumática em chicotada, Lesões em Chicotada, Traumatismos em Chicotada
Spanish Lesión traumática del cuello por efecto de látigo, Whiplash injury, Whiplash injury [Ambiguous], estrema cervical agudo, lesión de latigazo cervical, lesión traumática del cuello por hiperflexión - hiperextensión (trastorno), lesión traumática del cuello por hiperflexión - hiperextensión, Traumatismo por hiperextensión cervical, Lesiones por Latigazo Cervical, Lesiones por Latigazo
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
Japanese 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, 過屈曲過伸展損傷, むち打ち損傷, 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
Swedish Pisksnärtskador
Czech whiplash poranění, Poranění krční páteře z prudké extenze a flexe, Whiplash injury
Finnish Piiskaniskuvammat
Russian TRAVMY KHLYSTOVYE, KHLYSTOVYE TRAVMY, ТРАВМЫ ХЛЫСТОВЫЕ, ХЛЫСТОВЫЕ ТРАВМЫ
Croatian VRATNA KRALJEŽNICA, TRZAJNE OZLJEDE
Polish Urazy typu whiplash, Urazy typu smagnięcie biczem
Hungarian Ostorcsapás sérülés, Nyak ostorcsapás-sérülése