Siegmund Gunter P, Winkelstein Beth A, Ivancic Paul C, Svensson Mats Y, Vasavada Anita
MEA Forensic Engineers & Scientists, 11-11151 Horseshoe Way, Richmond, BC, Canada.
Traffic Inj Prev. 2009 Apr;10(2):101-12. doi: 10.1080/15389580802593269.
Whiplash injury is the most common motor vehicle injury, yet it is also one of the most poorly understood. Here we examine the evidence supporting an organic basis for acute and chronic whiplash injuries and review the anatomical sites within the neck that are potentially injured during these collisions. For each proposed anatomical site--facet joints, spinal ligaments, intervertebral discs, vertebral arteries, dorsal root ganglia, and neck muscles--we present the clinical evidence supporting that injury site, its relevant anatomy, the mechanism of and tolerance to injury, and the future research needed to determine whether that site is responsible for some whiplash injuries. This article serves as a snapshot of the current state of whiplash biomechanics research and provides a roadmap for future research to better understand and ultimately prevent whiplash injuries.
挥鞭伤是最常见的机动车损伤，但也是人们了解最少的损伤之一。在此，我们审视支持急性和慢性挥鞭伤存在器质性基础的证据，并回顾在这些碰撞中颈部可能受伤的解剖部位。对于每个提出的解剖部位——小关节、脊柱韧带、椎间盘、椎动脉、背根神经节和颈部肌肉——我们都展示了支持该损伤部位的临床证据、其相关解剖结构、损伤机制和耐受性，以及确定该部位是否导致某些挥鞭伤所需的未来研究。本文是挥鞭伤生物力学研究现状的一个概述，并为未来研究提供了路线图，以更好地理解并最终预防挥鞭伤。
