Whiplash is the most common injury reported in low-velocity impact road traffic accidents, but claimants report a range of other soft tissue injuries and we looked at the prevalence of these and any patterns. We retrospectively reviewed reports from the medico-legal practice of an orthopaedic surgeon. We collected data on 609 claimants. Sixty-two per cent were women (p < 0.0001). Majority (90.3%) reported an injury to at least one other area than neck, and 48% of claimants reported shoulder pain. Hand/wrist injuries were almost exclusive to drivers (p = 0.0013). Those with knee injuries were older than those without (p = 0.001). There was a significant difference in the age of patients with different spinal injury patterns (p < 0.0001). Occupational status did not appear to influence the pattern of injuries (p = 0.06). Psychological symptoms were associated with a greater number of body parts injured (p < 0.01). Our data confirm a strong association between these soft tissue injuries and psychological symptoms.
Keywords: Whiplash injuries; neck pain; traffic accidents.
Soft tissue neck symptoms following high-energy road traffic accidents.Spine (Phila Pa 1976). 2004 Aug 1;29(15):E315-7. doi: 10.1097/01.brs.0000132514.33078.da. Spine (Phila Pa 1976). 2004. PMID: 15284526
Whiplash injuries in Finland: a prospective 1-year follow-up study.Clin Exp Rheumatol. 2002 May-Jun;20(3):399-402. Clin Exp Rheumatol. 2002. PMID: 12102479
An analysis of whiplash injury outcomes in an Irish population: a retrospective fifteen-year study of a spine surgeon's experience.Ir J Med Sci. 2020 Feb;189(1):211-217. doi: 10.1007/s11845-019-02035-2. Epub 2019 May 22. Ir J Med Sci. 2020. PMID: 31119531
Biomechanics of whiplash injury.Chin J Traumatol. 2009 Oct;12(5):305-14. Chin J Traumatol. 2009. PMID: 19788851 Review.
Some observations on whiplash injuries.Neurol Clin. 1992 Nov;10(4):975-97. Neurol Clin. 1992. PMID: 1435666 Review.