Citation

Bismil Q, Bismil M. JRSM Short Rep 2012; 3(8): 57.

Affiliation

Consultant Orthopaedic Surgeon , The Wellington Hospital , London NW8 9LE , UK.

Copyright

(Copyright © 2012, RSM Press)

DOI

10.1258/shorts.2012.012052

PMID

23301145

Abstract

OBJECTIVES: To document any consistent clinical findings in a large cohort of patients with whiplash associated disorder. DESIGN: Four-year observational study. SETTING: Large orthopaedic medicolegal practice in the UK. PARTICIPANTS: 1025 consecutive cases of chronic whiplash associated disorder. MAIN OUTCOME MEASURES: OBSERVATIONAL STUDY OF THE CLINICAL FEATURES OF WHIPLASH ASSOCIATED DISORDER: detailed examination RESULTS: THREE CONSISTENT CLINICAL FEATURES: neck pain; reduced cervical spine range of motion; and myofascial-entheseal dysfunction. With regards to the myofascial-entheseal dysfunction there were trigger points in the upper, middle or lower trapezius; with or without enthesopathy in the lower or middle trapezius. CONCLUSIONS: On the basis of this large observational experience we propose a clinically-based definition of chronic whiplash associated disorder: a painful syndrome following acceleration-deceleration injury with neck stiffness; and myofascial-entheseal dysfunction.

Language: en