整形外科と災害外科
むちうち損傷の診断と治療
小山 正信黒瀬 眞之輔山本 良輔大宮 克弘原田 洋前 隆男
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43 巻 (1994) 2 号 p. 503-506

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107 patients suffering from various disturbances following a whiplash injury were studieds retrospectively. Patients were divided into four groups based on clinical, radiological and MRI findings; 55 cases had soft tissue injury only of the neck, 25 cases had traumatic thoracic outlet syndrome, 18 cases had cervical radicular syndrome and nine cases had a combination of traumatic thoracic outlet syndrome and cervical radicular syndrome.
Patients with whiplash injuries were treated using a soft neck collar for sprain injuries, a thoracic outlet syndrome pillow that we developed to relax neck muscles and decompress brachial neuro-vascular plexus in traumatic thoracic outlet syndrome and a firm cervicothoracic orthosis was used to treat cervical radicular syndrome. Furthermore, according to the situation, chronic cases were also treated by non-steroidal antiinflammatory agents, muscle relaxants, stellate ganglion block, epidural block and isometric muscle exercises of the neck and pectoral muscles.

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