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[挥鞭样损伤与颈椎损伤的评估]

[Assessment of whiplash and cervical spine injury].

作者信息

Marx P

出版信息

Nervenarzt. 2011 Dec;82(12):1525-32. doi: 10.1007/s00115-011-3286-7.

DOI:10.1007/s00115-011-3286-7
PMID:22105883
Abstract

Formulating an expert opinion on whiplash injuries requires that consideration be given to biomechanical, orthopedic, neurological, psychiatric and medicolegal aspects. The greatest difficulties are encountered in cases of mild whiplash where patients complain of constant pain without any physical correlative. Diverse assessments and principles for approving a claim are reflected in the fact that the prevalence of chronic spine pain after whiplash injuries (late whiplash syndrome) varies between 16% and 71% in different countries, and the proportion of whiplash injuries involved in petitions for compensation differs greatly across Europe (UK 75%, Germany 47%, Finland 8.5% and France 3% of all personal injuries).Important biomechanical, orthopedic, neurological, psychiatric and medicolegal aspects of expert testimony on whiplash associated disorders (WAD) are delineated.

摘要

形成关于挥鞭伤的专家意见需要考虑生物力学、骨科、神经学、精神病学和法医学等方面。在轻度挥鞭伤病例中会遇到最大的困难,即患者主诉持续疼痛但无任何身体相关症状。不同国家挥鞭伤后慢性脊柱疼痛(迟发性挥鞭综合征)的患病率在16%至71%之间,以及欧洲各国涉及赔偿申请的挥鞭伤比例差异很大(英国占所有人身伤害的75%,德国为47%,芬兰为8.5%,法国为3%),这反映出评估和索赔批准原则的多样性。文中阐述了关于挥鞭相关障碍(WAD)专家证词的重要生物力学、骨科、神经学、精神病学和法医学方面。

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1
[Assessment of whiplash and cervical spine injury].[挥鞭样损伤与颈椎损伤的评估]
Nervenarzt. 2011 Dec;82(12):1525-32. doi: 10.1007/s00115-011-3286-7.
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[Comment on J. Schmidt, A. Lohsträter: trauma surgery expert assessment of cervical dislocation].[对J.施密特、A.洛施特拉特:颈椎脱位的创伤外科专家评估的评论]
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[Medicolegal assessment of post-traumatic vertigo].创伤后眩晕的法医学评估
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What is the evidence for an organic lesion in whiplash injury?挥鞭伤中存在器质性损伤的证据是什么?
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[Comment on J. Schmidt, A. Lohsträter: trauma surgery expert assessment of cervical dislocation].[对J.施密特、A.洛斯特拉特:颈椎脱位的创伤外科专家评估的评论]
Versicherungsmedizin. 2004 Mar 1;56(1):42-3; author reply 43-4.
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[New information on so-called whiplash cervical trauma].[关于所谓挥鞭样颈部创伤的新信息]
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Proving whiplash injury cases in court.在法庭上证明鞭梢伤案件。
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[Letter: Reply to the comment on the article by G. Gutman: "Evaluation of cervical spine injuries", this journal 76, 498 (1973)].[信件:对G. 古特曼所著文章《颈椎损伤的评估》(本刊第76卷,第498页,1973年)评论的回复]
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[Clinical aspects and neurologic expert assessment in sequelae of whiplash injury to the cervical spine].[颈椎挥鞭伤后遗症的临床情况及神经学专家评估]
Nervenarzt. 1995 Oct;66(10):730-5.
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[Neurologic expert assessment after whiplash injuries of the cervical spine].[颈椎挥鞭伤后的神经学专家评估]
Schweiz Arch Neurol Psychiatr (1985). 1993;144(6):519-37.

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Whiplash Syndrome Reloaded: Digital Echoes of Whiplash Syndrome in the European Internet Search Engine Context.挥鞭样综合征重现:欧洲互联网搜索引擎背景下挥鞭样综合征的数字回响
JMIR Public Health Surveill. 2017 Mar 27;3(1):e15. doi: 10.2196/publichealth.7054.

本文引用的文献

1
The anatomy and biomechanics of acute and chronic whiplash injury.急慢性挥鞭伤的解剖学与生物力学
Traffic Inj Prev. 2009 Apr;10(2):101-12. doi: 10.1080/15389580802593269.
2
Deceleration during 'real life' motor vehicle collisions - a sensitive predictor for the risk of sustaining a cervical spine injury?“现实生活”中机动车碰撞时的减速——颈椎损伤风险的敏感预测指标?
Patient Saf Surg. 2009 Mar 8;3(1):5. doi: 10.1186/1754-9493-3-5.
3
Course and prognostic factors for neck pain in whiplash-associated disorders (WAD): results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders.
挥鞭样损伤相关疾病(WAD)中颈部疼痛的病程及预后因素:2000 - 2010年骨与关节十年颈部疼痛及其相关疾病特别工作组的结果
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4
Number and cost of claims linked to minor cervical trauma in Europe: results from the comparative study by CEA, AREDOC and CEREDOC.欧洲与轻度颈椎创伤相关的索赔数量及费用:CEA、AREDOC和CEREDOC比较研究的结果
Eur Spine J. 2008 Oct;17(10):1350-7. doi: 10.1007/s00586-008-0732-8. Epub 2008 Aug 15.
5
Are early MRI findings correlated with long-lasting symptoms following whiplash injury? A prospective trial with 1-year follow-up.挥鞭样损伤后早期MRI表现与长期症状相关吗?一项为期1年随访的前瞻性试验。
Eur Spine J. 2008 Aug;17(8):996-1005. doi: 10.1007/s00586-008-0687-9. Epub 2008 May 30.
6
Whiplash headache is transitory worsening of a pre-existing primary headache.挥鞭样头痛是既往原发性头痛的短暂性加重。
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7
Assessment of neck pain and its associated disorders: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders.颈部疼痛及其相关疾病的评估:2000 - 2010年骨与关节十年颈部疼痛及其相关疾病特别工作组的结果
Spine (Phila Pa 1976). 2008 Feb 15;33(4 Suppl):S101-22. doi: 10.1097/BRS.0b013e3181644ae8.
8
Acute stress response and recovery after whiplash injuries. A one-year prospective study.挥鞭样损伤后的急性应激反应与恢复:一项为期一年的前瞻性研究。
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9
Functional magnetic resonance imaging--video diagnosis of soft-tissue trauma to the craniocervical joints and ligaments.功能磁共振成像——颅颈关节和韧带软组织创伤的视频诊断
Int Tinnitus J. 2000;6(2):134-9.
10
From railway spine to whiplash--the recycling of nervous irritation.从铁路脊椎损伤到挥鞭样损伤——神经刺激的反复出现
Med Sci Monit. 2003 Nov;9(11):HY27-37.