Whiplash injury can occur due to the sudden acceleration and deceleration forces acting on the neck (cervical vertebras) bringing about temporary or permanent harm to the ligaments. There are numerous ligaments present in the cervical region.
The craniovertebral ligaments are most susceptible against high speed acceleration and deceleration during the head injury.
Instabilities of the alar ligaments ought to be suspected when there is rotational instability between the occiput and the atlas vertebra clearly shown on computerized tomography examinations. The alar ligaments can be appeared on high resolution proton density weighted magnetic resonance images. Plain cervical radiographs …show more content…
In the acute stage of the whiplash injury the plain x-rays of the neck were normal in all the patients.
The aim of this study was to classify and organize structural changes in the alar ligaments during the late phase of whiplash injuries by the use of a new Magnetic Resonance Imaging protocols and to assess the reliability as well as the validity of this classification.
In this study 92 whiplash injured and 30 uninjured individuals were studied who experienced proton density weighted MRI of the craniovertebral junction in three planes.
According to the results of these imaging, normal ligaments display low signal intensity while high signal intensity was regarded as a sign complete or partial injury. In order to distinguish among mild, moderate and severe whiplash injury, a ratio between the high signal part and the total cross-sectional area of the alar ligament was employed.
The grading criterion for the alar ligament is mentioned