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Orthopaedics Spinal Injury 119e1434

All are true about whiplash injury except :

A
Neck stiffness is a presenting symptom
B
X-ray shows veebral fracture in most cases
C
There is hyperextension followed by flexion
D
It is a ligamentous injury of the cervical spine
High-Yield Explanation
Whiplash injury: Collision causing the occupant's body to be forced against the car seat, while the head flips backwards causing hyperextension and then recoil into flexion. C/F: Neck pain and stiffness, headache, dizziness, blurring of vision, paraesthesia in the arms, Temporomandibular discomfo and tinnitus. Tenderness of neck muscles, restriction of neck movements. =Quebec Task Force grading system: 0 - No neck symptoms or signs 1 - Neck pain, stiffness and tenderness 2 - Neck symptoms and musculoskeletal signs 3 - Neck symptoms and neurological signs 4 - Neck symptoms and fracture or dislocation =X-ray - Loss of cervical lordosis due to muscle spasm. Veebral fracture is not mostly seen in whiplash injury. =Management: SOFT COLLAR Simple pain-relievers like NSAIDs during the first few weeks. Graded exercises and isometric strengthening exercises after the pain subsides.

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