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Impingement syndrome associated with whiplash injury

Department of Orthopaedics, Kings College Hospital, Denmark Hill, London SE5 9 RS, UK.

T. Peckham, FRCS Orth, Consultant Orthopaedic Surgeon

Basildon Hospital, Nethermayne, Basildon, Essex SS16 5NL, UK.

R. Turner, FRCS Orth, Consultant Orthopaedic Surgeon

Department of Orthopaedics, The Royal Sussex County Hospital, Eastern Road, Brighton BN2 5BE, UK.

Correspondence should be sent to Mr R. Turner.

We examined 524 patients with whiplash injuries for delayed onset of shoulder pain in order to establish whether this was due to impingement syndrome. A total of 476 patients (91%) responded to a questionnaire of which 102 (22%) were entered into the study; 43 had both a positive impingement sign and Neer test. The incidence of impingement-type pain was 9%. After treatment 23 patients (5%) had a significant improvement in their symptoms, ten (2%) had a moderate improvement and nine had no improvement. Impingement-type pain can occur after whiplash injuries and can be successfully treated.