Schollaert Joris, Van Goethem Johan W M
Department of Medical and Molecular Imaging, VITAZ, Sint-Niklaas, Belgium.
Department of Radiology, University Hospital of Antwerp, Antwerp, Belgium.
Semin Musculoskelet Radiol. 2023 Oct;27(5):512-521. doi: 10.1055/s-0043-1772170. Epub 2023 Oct 10.
"Whiplash," a term describing the severe acceleration and deceleration forces applied to the head, craniocervical junction (CCJ), and cervical spine during trauma, is one of the most frequent mechanisms of injury to the CCJ. The CCJ is a complex region at the transition of the cranium and the cervical spine, essential for maintaining craniocervical stability. In whiplash injuries, the CCJ may be compromised due to underlying ligamentous or, less frequently, osseous, intravertebral disk and/or muscular lesions. Imaging is crucial in detecting acute lesions but may also play a role in the follow-up of chronic pathology because soft tissue lesions and progressive disk pathology could contribute to a whiplash-associated disorder.
“挥鞭样损伤”是一个描述创伤期间作用于头部、颅颈交界区(CCJ)和颈椎的严重加速和减速力的术语,是CCJ最常见的损伤机制之一。CCJ是颅骨和颈椎交界处的一个复杂区域,对于维持颅颈稳定性至关重要。在挥鞭样损伤中,CCJ可能因潜在的韧带损伤而受损,较少情况下也可能因骨质、椎间盘内和/或肌肉损伤而受损。影像学检查对于检测急性损伤至关重要,但在慢性病变的随访中也可能发挥作用,因为软组织损伤和进行性椎间盘病变可能导致挥鞭样相关疾病。