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Revista Mexicana de Medicina Física y Rehabilitación

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2002, Number 1

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Rev Mex Med Fis Rehab 2002; 14 (1)

Prognostic value of the secondary injuries of cervical sprain diagnosticated by magnetic resonance

Álvarez GBA, Granados SE, Reyes SAA, Campos GP
Full text How to cite this article

Language: Spanish
References: 24
Page: 20-25
PDF size: 80.12 Kb.


Key words:

Whiplash syndrome, electromyography, magnetic resonance image.

ABSTRACT

Background: Whiplash is defined as an acceleration–deceleration mechanism of energy transfer to the neck, because of the term whiplash not only is used to describe a mechanism of injury but also the injury or syndrome associated with the mechanism, in which is attributed mostly to lesions of muscles or ligaments in the neck (“neck strain”) because evidence of skeletal or nervous system injuries are usually lacking. Method: Forty two patients were reviewed from rehabilitation and orthopedics consult with 4 weeks of initiated the disorder and without limit of maximum. Results: Only 25 patients completed the study. X ray showed pathological details in 16%, electromyography in 92% and magnetic resonance image in 88% of the subjects. The levels of mayor injury by electromyography and by magnetic resonance image were C5–C6. Conclusions: X ray are not useful to evaluate in complete form the patients with whiplash syndrome with persistence neurological symptoms. The electromyography should be done by routine and must be reforced by the magnetic resonance image.


REFERENCES

  1. Borchgrevink GE, Kaasa A, McDonagh D, Stiles TC, Haraldseth O, Lereim I. Acute treatment of whiplash neck sprain injuries. Spine 1998; 23(1): 25-31.

  2. Stovner LJ. The nosologic status of the whiplash syndrome: A critical review based on a methodological approach. Spine 1996; 21 (23): 2735-2746.

  3. Freeman MD, Croft AC, Rossignol AM, Weaver, DC, Reiser M. A Review and methodologic critique of the literature refuting whiplash syndrome. Spine 1999; 24(1): 86-98.

  4. Schrader H, Obelieniene D, Bovim G, Surkiene D, Mickeviciene D, Miseviciene I et al. Natural evolution of late whiplash syndrome outside the medicolegal context. The Lancet 1996; 347: 1207-1211.

  5. Dreyer SJ, Boden SD. Nonoperative treatment of neck and arm pain. Spine 1998; 23(24): 2746-2754.

  6. Söderlund A, Lindberg P. Long-term functional and psychological problems in whiplash associated disorders. Inter J Rehab Research 1999; 22: 77-84.

  7. Biorgen I. Late whiplash syndrome. The Lancet 1996; 348: 124-126.

  8. Freeman MD, Croft AC, Rossignol AM. “Whiplash associated disorders: Redefining whiplash and its management” by the Quebec Task Force. Spine 1998; 23(9): 1043-1049.

  9. Pettersson K, Hildingsson C, Toolanen G, Fagerlund M, Björnebrink J. Disc pathology after whiplash injury. Spine 1997; 22(3): 283-288.

  10. Brault JR, Wheeler JB, Siegmund GP, Brault EJ. Clinical response of human subjects to rear-end automobile collisions. Arch Phys Med Rehabil 1998; 79: 72-80.

  11. Hammacher ER, Van der Werken C. Acute neck sprain: “whiplash” reappraised. Injury 1996; 27(7): 463-466.

  12. Diccionario Terminológico de Ciencias Médicas. 12ª ed. Salvat. México, 1991; 404.

  13. Kapandji I. Cuadernos de fisiología articular. Cuaderno III. Tronco y raquis. 2ª ed. Masson. España, 1977; 173-249.

  14. Schmand B, Lindeboom J, Schagen S, Heijt R, Koene T, Hamburger H. Cognitive complaints in patients after whiplash injury: the impact of malingering. JNNP 1998; 64: 339-343.

  15. Yoganandan N, Pintar FA, Kleinberger M. Whiplash injury biomechanical experimentation. Spine 1999; 24(1): 83-85.

  16. Dolinis J. Risk factors for “whiplash” in drivers: a cohort study of rear-end traffic crashes. Injury 1997; 28(3): 173-179.

  17. Taylor AE, Cox ChA, Mailis A. Persistent neuropsychological deficits following whiplash: Evidence for chronic mild traumatic brain injury?. Arch Phys Med Rehabil 1996; 77: 529-535.

  18. West CO, Anbari MM, Pilgram TK, Wilson AJ. Acute cervical spine trauma: Diagnostic performance of single-view versus three-view radiographic screening. Radiology 1997; 204: 819-823.

  19. Pettersson K, Karrholm J, Toolanen G, Hildingsson C. Decreased with of the spinal canal in patients with chronic symptoms after whiplash injury. Spine 1995; 20(15): 1664-1667.

  20. Fernández TS, Boleaga DB, Beltrán J. Musculoesquelético: Columna vertebral y esqueleto apendicular. Trauma de columna cervical. 1ª ed. Lippincott Williams and Wilkins. España, 2001; 183-193.

  21. An H. Cervical Spine Trauma. Spine 1998; 23 (24): 2713-2729.

  22. Kaiser JA, Holland BA. Imaging of the cervical spine. Spine 1998; 23(24): 2701-2712.

  23. Debois V, Herz R, Berghmans D, Hermans B, Herregodts P. Soft cervical disc herniation. Spine 1999; 24(19): 1996-2002.

  24. Goldstein B, Hammond MC, Stiens SA, Little JW. Posttraumatic syringomyelia: Profound neuronal loss, yet preserved function. Arch Phys Med Rehabil 1998; 79: 107-112.




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Rev Mex Med Fis Rehab. 2002;14