Whiplash injuries to the neck

Cammack, Kirk V.

doi:10.1016/0002-9610(57)90527-5

Cited by 23 publications

(3 citation statements)

References 5 publications

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“…Direct trauma may stretch or compress nerve roots leading to swelling and vascular congestion. At a later stage, fibrosis may form within the nerve root together with adhesions between the root and surrounding dural sleeve or foraminal tissues [1,[4][5][6]. Irritation of nerve roots as a result of injury to intervertebral discs, or to intervertebral joints has also been postulated [4].…”

Section: Discussionmentioning

confidence: 99%

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A Study of Upper Limb Pain and Paraesthesiae Following Neck Injury in Motor Vehicle Accidents: Assessment of the Brachial Plexus Tension Test of Elvey

Quintner

1989

Rheumatology

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The brachial plexus tension test (BPTT) appears to offer a means of examining the extensibility and mechanosensitivity of the neural tissues related to an upper limb. This test was used to evaluate possible cervical or brachial plexus neural involvement causing arm pain syndromes in 37 patients presenting for assessment following neck injury in motor vehicle accidents. The BPTT was considered positive in 55 of the 61 symptomatic arms. There were no false-positive responses in the 13 asymptomatic arms although a slight loss of extensibility was evident in five arms. Twenty patients without clinical evidence of current or previous neck pathology were similarly examined. There were no reports of pain on BPTT in this group. In 36 of the 40 arms a full range of extensibility was present. In the other four arms the loss of extensibility was slight. This study suggests that arm pain and paraesthesiae which follow neck injury in motor vehicle accidents arise from irritable cervical neural tissues. The study also highlights the persistent nature and widespread distribution of the pain in these patients.

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Section: Discussionmentioning

confidence: 99%

“…THE assessment of patients with persistent pain syndromes of the head, neck and arm following injury to the neck in motor vehicle accidents has been a difficult area of musculoskeletal medicine [1][2][3]. Upper limb pain and paraesthesiae are part of the complex symptomatology in these patients [1,2,[4][5][6][7].…”

mentioning

confidence: 99%

A Study of Upper Limb Pain and Paraesthesiae Following Neck Injury in Motor Vehicle Accidents: Assessment of the Brachial Plexus Tension Test of Elvey

Quintner

1989

Rheumatology

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“…1969, Toglia 1976 Herrschaft 1971). Gay und Abbott (1953) hatten als Ursache der enzephalen Symptome bereits eine mechanische Deformierung der Frontal-und Temporallappen beim Anprall gegen Kalotte oder Basis vermutet, Hawkes (1957) und Cammack (1957) zusätzlich eine Hirnstammschadigung. Auch Tortes und Shapiro (1961) stellten den direkten Einfluf der Beschleunigungs-bzw Bremskräfte auf das Hirngewebe heraus.…”

Section: Untalihergang Und Biomechanikunclassified