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]

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

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, 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