Whiplash-induced Thoracic Outlet Syndrome Treated With Botulinum Toxin.
Status:
Not yet recruiting
Trial end date:
2023-06-15
Target enrollment:
Participant gender:
Summary
Whiplash injuries following car accident are common, it has been reported to affect 83% of
individuals injured in traffic collisions (Yadla S, 2007). The condition is caused by a rapid
acceleration followed immediately by a rapid deceleration of the neck and head. The annual
North American incidence rate is estimated to be 600 per 100,000 people (Holm LW, 2008). The
condition is costly for society and disabling/painful for the patients. Depending on the
collision type, the biomechanics of muscles will be affected differently and consequently the
clinical presentation will vary. T-bone type of car collisions (when the front of one vehicle
strikes the side of another) may induce thoracic outlet syndrome (TOS) following compression
on the nerve and artery bundle by the scalene muscles (lateral stabilizers of the neck). An
appropriate and detailed examination of the patient is necessary to identify the cause of the
resulting pain and disability. Once a functional thoracic outlet syndrome is identified the
proposal is to treat this with botulinum toxin.