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Journal of Bone and Joint Surgery - British Volume, Vol 91-B, Issue 7,
845-850.
doi: 10.1302/0301-620X.91B7.22639 Copyright © 2009 by British Editorial Society of Bone and Joint Surgery Whiplash injuryG. Bannister, MD, MC Orth, FRCS Ed Orth, Professor of Orthopaedic Surgery1; R. Amirfeyz, MD, FRCS(Trauma & Orth), Specialist Orthopaedic Registrar1; S. Kelley, FRCS(Trauma & Orth), Consultant Orthopaedic Surgeon2; and M. Gargan, MA, FRCS(Trauma & Orth), Consultant Orthopaedic Surgeon3
1 Department of Orthopaedics Southmead Hospital, Bristol, BS10 5NB, UK. Correspondence should be sent to Professor G. Bannister; e-mail: gordon-bannister{at}tiscali.co.uk
This review discusses the causes, outcome and prevention of whiplash injury, which costs the economy of the United Kingdom approximately £3.64 billion per annum. Most cases occur as the result of rear-end vehicle collisions at speeds of less than 14 mph. Patients present with neck pain and stiffness, occipital headache, thoracolumbar back pain and upper-limb pain and paraesthesia. Over 66% make a full recovery and 2% are permanently disabled. The outcome can be predicted in 70% after three months.
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