BenEliyahu D J
J Manipulative Physiol Ther. 1995 Jun;18(5):315-21.
To discuss the case of a young male football player who sustained a hyperflexion cervical injury, including radiographic evidence of intersegmental hypermobility and translational displacement with cervical hypolordosis and anterior subluxation.
The patient suffered from neck pain, spasm, limited range of motion and mild sclerogenous referred arm pain. The results of neurological exams were normal. Radiographs of the cervical spine revealed cervical hypolordosis, intersegmental hypermobility and anterior subluxation. MRI was normal, with no evidence of disk herniation.
The patient was immobilized for the first 10 days with a cervical collar and was administered adjunctive physiotherapy. Light cervical manipulative techniques were added in the subacute stage, as were isometric and tubing exercises. The patient responded quickly and favorably to care. Subsequent radiographs revealed a reversal and resolution of the abnormal findings of the cervical hypolordosis, anterior subluxation and intersegmental hypermobility that were initially seen.
Conservative chiropractic management of hyperflexion injuries may be useful in reducing clinical symptoms, cervical hypolordosis, anterior subluxation and intersegmental hypermobility, as seen in follow-up radiographs. Chiropractic sports physicians have the diagnostic and therapeutic expertise to manage these types of athletic injuries.
探讨一名年轻男性足球运动员发生颈椎过屈损伤的病例，包括节段性活动过度及平移移位的影像学证据，伴有颈椎生理前凸消失和椎体前半脱位。
患者颈部疼痛、痉挛，活动范围受限，伴有轻度放射性上肢疼痛。神经学检查结果正常。颈椎X线片显示颈椎生理前凸消失、节段性活动过度及椎体前半脱位。MRI检查正常，未见椎间盘突出迹象。
患者最初10天使用颈托固定，并接受辅助物理治疗。在亚急性期增加了轻度颈椎手法治疗以及等长收缩和弹力带训练。患者对治疗反应迅速且良好。随后的X线片显示，最初所见的颈椎生理前凸消失、椎体前半脱位和节段性活动过度等异常表现得到了改善和恢复。
如随访X线片所示，颈椎过屈损伤采用保守的整脊治疗可能有助于减轻临床症状、改善颈椎生理前凸消失、椎体前半脱位和节段性活动过度的情况。整脊运动医师具备诊断和治疗此类运动损伤的专业知识。
