Wagner S, Renner N, Krause J, Perl M
Unfallchirurgische und Orthopädische Klinik, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Krankenhausstr. 12, 91054, Erlangen, Deutschland.
Unfallchirurgie (Heidelb). 2022 Dec;125(12):983-994. doi: 10.1007/s00113-022-01248-y. Epub 2022 Nov 14.
Distortion or whiplash trauma of the cervical spine is an injury pattern associated with motor vehicle collisions and typically occurs after rear impact collisions, but is not limited to this type of collision and accident. The vast majority of these injuries are low-grade injuries according to the Quebec Task Force (QTF) classification, whereby no objective morphological correlates can be determined in clinical and radiological examinations. The prognosis is predominantly favorable and the condition is self-limiting; however, care must be taken with respect to complex courses with chronic pain and the manifestation of neuropsychiatric complaints. Due to the mechanism of the accident this injury pattern is particularly frequent in accidents associated with third party liability insurance claims. The discrepancy between subjective complaints and the presence of objective findings is a particular challenge for the assessment by the medical expert.
颈椎的扭曲或挥鞭样创伤是一种与机动车碰撞相关的损伤模式，通常发生在追尾碰撞后，但不限于这种碰撞和事故类型。根据魁北克工作组（QTF）分类，这些损伤中的绝大多数属于轻度损伤，在临床和放射学检查中无法确定客观的形态学关联。预后大多良好，病情具有自限性；然而，对于伴有慢性疼痛的复杂病程和神经精神症状的表现必须加以注意。由于事故机制，这种损伤模式在与第三方责任保险索赔相关的事故中尤为常见。主观症状与客观检查结果之间的差异对医学专家的评估而言是一项特殊挑战。
