Magin M N, Auer C
Spezialpraxis für Orthopädie und Unfallchirurgie, Bahnhofsweg 10, 82008, Unterhaching/München, Deutschland,
Unfallchirurg. 2014 Mar;117(3):263-73. doi: 10.1007/s00113-013-2544-5.
Considering the controversially discussed issue of whiplash injury a pragmatic approach based on our own experience in the area of forensic expert opinion is presented. Findings of accident analysis and biomechanics are correlated with the individual situation after the accident (initial clinical appearance), the course of the ailment and the indispensable physical examination. The latter leads to determination of the individual vulnerability (not increased/increased) which is important for the evaluation of the physical condition and estimation of the physical stress limit. These limits vary widely between individuals and must be considered carefully when relating dose and effect of accident severity to a possible physical injury. Determination of the accident severity is especially important when there are no objective signs of injury and the existence of a minor whiplash injury (Quebec Task Force degree 1 or 2) is in question.
考虑到关于挥鞭伤这一备受争议的讨论话题，本文基于我们在法医专家意见领域的自身经验，提出了一种务实的方法。事故分析和生物力学的结果与事故后的个体情况（初始临床表现）、疾病进程以及必不可少的体格检查相关联。后者导致确定个体易损性（未增加/增加），这对于评估身体状况和估计身体应激极限很重要。这些极限在个体之间差异很大，在将事故严重程度的剂量和影响与可能的身体损伤相关联时必须仔细考虑。当没有损伤的客观迹象且轻微挥鞭伤（魁北克工作组1级或2级）的存在存在疑问时，确定事故严重程度尤为重要。
