Neck injury: Difference between revisions
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** ''Only test if'' "simple rear-end motor vehicle collision, sitting position in ED, ambulatory at any time since injury, delayed onset of neck pain, or absence of midline C-spine tenderness"<ref name="pmid11597285">{{cite journal |author=Stiell IG, Wells GA, Vandemheen KL, ''et al'' |title=The Canadian C-spine rule for radiography in alert and stable trauma patients |journal=JAMA |volume=286 |issue=15 |pages=1841–8 |year=2001 |month=October |pmid=11597285 |doi= |url=http://jama.ama-assn.org/cgi/pmidlookup?view=long&pmid=11597285 |issn=}}</ref> | ** ''Only test if'' "simple rear-end motor vehicle collision, sitting position in ED, ambulatory at any time since injury, delayed onset of neck pain, or absence of midline C-spine tenderness"<ref name="pmid11597285">{{cite journal |author=Stiell IG, Wells GA, Vandemheen KL, ''et al'' |title=The Canadian C-spine rule for radiography in alert and stable trauma patients |journal=JAMA |volume=286 |issue=15 |pages=1841–8 |year=2001 |month=October |pmid=11597285 |doi= |url=http://jama.ama-assn.org/cgi/pmidlookup?view=long&pmid=11597285 |issn=}}</ref> | ||
* [[Glasgow Coma Scale]] less than 15 (the Canadian C-Spine Rule was only designed for alert patients) | * [[Glasgow Coma Scale]] less than 15 (the Canadian C-Spine Rule was only designed for alert patients) | ||
==Treatment== | |||
In patients with recent onset of cervical [[radiculopathy]], semi-hard collar and [[physiotherapy]] with exercise may reduce pain.<ref name="pmid19812130">{{cite journal| author=Kuijper B, Tans JT, Beelen A, Nollet F, de Visser M| title=Cervical collar or physiotherapy versus wait and see policy for recent onset cervical radiculopathy: randomised trial. | journal=BMJ | year= 2009 | volume= 339 | issue= | pages= b3883 | pmid=19812130 | |||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=19812130 | doi=10.1136/bmj.b3883 }} <!--Formatted by http://sumsearch.uthscsa.edu/cite/--></ref> | |||
==References== | ==References== | ||
<references/> | <references/> | ||
Revision as of 23:11, 10 November 2009
In medicine, neck injuries are "general or unspecified injuries to the neck. It includes injuries to the skin, muscles, and other soft tissues of the neck.'[1]
Diagnosis
X-ray of the cervical spine should be considered, especially if the patient fulfills any criteria from the Canadian C-Spine Rule clinical prediction rule: [2][3]
- Age 65 years or more
- Paresthesias in extremities
- Dangerous fall ("elevation >=3 ft or 5 stairs; an axial load to the head (e.g., diving); a motor vehicle collision at high speed (>100 km/hr) or with rollover or ejection; a collision involving a motorized recreational vehicle; or a bicycle collision")
- Inability to rotate the neck 45° to the right and left
- Only test if "simple rear-end motor vehicle collision, sitting position in ED, ambulatory at any time since injury, delayed onset of neck pain, or absence of midline C-spine tenderness"[4]
- Glasgow Coma Scale less than 15 (the Canadian C-Spine Rule was only designed for alert patients)
Treatment
In patients with recent onset of cervical radiculopathy, semi-hard collar and physiotherapy with exercise may reduce pain.[5]
References
- ↑ Anonymous (2024), Neck injury (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Stiell IG, Clement CM, McKnight RD, et al (December 2003). "The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma". N. Engl. J. Med. 349 (26): 2510–8. DOI:10.1056/NEJMoa031375. PMID 14695411. Research Blogging.
- ↑ Stiell, Ian G; Catherine M Clement, Jeremy Grimshaw, Robert J Brison, Brian H Rowe, Michael J Schull, Jacques S Lee, Jamie Brehaut, R Douglas McKnight, Mary A Eisenhauer, Jonathan Dreyer, Eric Letovsky, Tim Rutledge, Iain MacPhail, Scott Ross, Amit Shah, Jeffrey J Perry, Brian R Holroyd, Urbain Ip, Howard Lesiuk, George A Wells (2009-10-29). "Implementation of the Canadian C-Spine Rule: prospective 12 centre cluster randomised trial". BMJ 339 (oct29_4): b4146. DOI:10.1136/bmj.b4146. Retrieved on 2009-11-05. Research Blogging.
- ↑ Stiell IG, Wells GA, Vandemheen KL, et al (October 2001). "The Canadian C-spine rule for radiography in alert and stable trauma patients". JAMA 286 (15): 1841–8. PMID 11597285. [e]
- ↑ Kuijper B, Tans JT, Beelen A, Nollet F, de Visser M (2009). "Cervical collar or physiotherapy versus wait and see policy for recent onset cervical radiculopathy: randomised trial.". BMJ 339: b3883. DOI:10.1136/bmj.b3883. PMID 19812130. Research Blogging.