Cervical zygapophyseal joint pain patterns, I:​ a study in normal volunteers

Dwyer, Anthony<sup>1</sup>; Aprill, Charles<sup>2</sup>; Bogduk, Nikolai<sup>2</sup>

Affiliations

¹Department of Orthopaedic Surgery, University of Colorado Health Sciences Center, Denver, Colorado

²Diagnostic Imaging, New Orleans, Louisiana

³Faculty of Medicine, University of Newcastle, New South Wales, Australia

Abstract and keywords

The pain patterns evoked by stimulation of normal cervical zygapophyseal joints were determined in five volunteers. Under fluoroscopic control, joints at segments C2–3 to C6–7 were stimulated by distending the joint capsule with injections of contrast medium. Each joint produced a clinically distinguishable, characteristic pattern of pain, which enabled the construction of pain charts that putatively could be of value in determining the segmental location of symptomatic joints in patients presenting with cervical zygapophyseal pain.

Keywords: neck pain; cervical zygapophyseal joints; referred pain

Links

DOI: 10.1097/00007632-199006000-00004

PubMed: 2402682

WoS: A1990DT93400004

Ovid: 00007632-199006000-00004

History

Received: 1989-12-01

Accepted: 1989-12-01

Cited Works (1)

Year	Entry
1988	Bogduk N, Marsland A. The cervical zygapophysial joints as a source of neck pain. Spine. June 1988;13(6):610-617.

Cited By (23)

Year	Entry
2015	Crosby ND, Smith JR, Winkelstein BA. Pain biomechanics. In: Yoganandan N, Nahum AM, Melvin JW, eds. Accidental Injury: Biomechanics and Prevention. 3rd ed. New York: Springer; 2015:549-580.
1998	Yoganandan N, Pintar FA, Cusick JF, Kleinberger M. Head-neck biomechanics in simulated rear impact. In: 42nd Annual Proceedings, Association for the Advancement of Automotive Medicine (AAAM). October 5-7, 1998; Charlottesville, VA.209-231.
2006	Siegmund GP, Blouin J-S, Carpenter MG, Brault JR, Inglis JT. Cervical multifidus muscle activity during whiplash and startle responses. In: Proceedings of the 34th International Workshop on Human Subjects for Biomechanical Research. 2006.133-143.
2007	Siegmund GP, Davis MB, Quinn KP, Hines E, Myers BS, Ejima S, Ono K, Kamiji K, Yasuki T, Winkelstein BA. Cervical facet capsule response to whiplash loading with a rotated head posture. In: Proceedings of the 35th International Workshop on Human Subjects for Biomechanical Research. 2007.123-136.
2007	Stemper BD, Yoganandan N, Gennarelli TA, Pintar FA. Toward a lower neck rear impact injury criterion: correlation of lower neck loads with spinal kinematics. In: Proceedings of the 2007 International IRCOBI Conference on the Biomechanics of Impact. September 19-21, 2007; Maastricht, The Netherlands.249-260.
2000	Siegmund G, Myers BS, Davis MB, Bohnet HF, Winkelstein BA. Human cervical motion segment flexibility and facet capsular ligament strain under combined posterior shear, extension and axial compression. Stapp Car Crash J. 2000;44:159-170. SAE 2000-01-SC12.
2005	Lu Y, Chen C, Kallakuri S, Patwardhan A, Cavanaugh JM. Neural response of cervical facet joint capsule to stretch: a study of whiplash pain mechanism. Stapp Car Crash J. 2005;49:49-65. SAE 2005-22-0003.
1998	Yoganandan N, Pintar FA, Klienberger M. Cervical spine vertebral and facet joint kinematics under whiplash. J Biomech Eng. April 1998;120(2):305-307.
2005	Lu Y, Chen C, Kallakuri S, Patwardhan A, Cavanaugh JM. Neurophysiological and biomechanical characterization of goat cervical facet joint capsules. J Orthop Res. July 2005;23(4):779-787.
1990	Aprill C, Dwyer A, Bogduk N. Cervical zygapophyseal joint pain patterns, II: a clinical evaluation. Spine. June 1990;15(6):458-461.
1992	Aprill C, Bogduk N. The prevalence of cervical zygapophyseal joint pain: a first approximation. Spine. July 1992;17(7):744-747.
1995	Barnsley L, Lord SM, Wallis BJ, Bogduk N. The prevalence of chronic cervical zygapophysial joint pain after whiplash. Spine. January 1995;20(1):20-25.
1996	Lord SM, Barnsley L, Wallis BJ, Bogduk N. Chronic cervical zygapophysial joint pain after whiplash: a placebo-controlled prevalence study. Spine. August 1996;21(15):1737-1744.
2001	Siegmund GP, Myers BS, Davis MB, Bohnet HF, Winkelstein BA. Mechanical evidence of cervical facet capsule injury during whiplash: a cadaveric study using combined shear, compression, and extension loading. Spine. October 1, 2001;26(9):2095-2101.
2004	Stemper BD, Yoganandan N, Pintar FA. Gender- and region-dependent local facet joint kinematics in rear impact: implications in whiplash injury. Spine. October 15, 2004;29(16):1764-1771.
2004	Stemper BD. Whiplash Affects Cervical Spine Biomechanics [PhD thesis]. Marquette University; May 2004.
2006	Gibson T. Development and Validation of a C5/C6 Motion Segment Model [PhD thesis]. University of New South Wales; January 4, 2006.
2008	Lee KE. An Engineering Approach to Understanding Painful Facet -Mediated Injury: Insights on Biomechanics and Neuropeptide Responses in a Rat Model [PhD thesis]. Philadelphia, PA: University of Pennsylvania; 2008.
2010	Quinn KP. Integrating Electrophysiological, Mechanical, and Optical Methods to Define the Mechanisms of Painful Facet Joint Injury [PhD thesis]. Philadelphia, PA: University of Pennsylvania; 2010.
2014	Crosby ND. Development of Spinal Neuronal Hyperexcitability and Structural Plasticity After Cervical Facet Injury: Implications for Modulating Persistent Pain [PhD thesis]. Philadelphia, PA: University of Pennsylvania; 2014.
2017	Zhang S. Defining Multi-Scale Relationships Between Biomechanics and Neuronal Dysfunction in Ligament Pain Using Integrated Experimental and Computational Approaches [PhD thesis]. Philadelphia, PA: University of Pennsylvania; 2017.
2023	Carroll GA. Experimental Characterization and Finite Element Modelling of Cervical Facet Joint Mechanics [Master's thesis]. University of Waterloo; 2023.
2005	Sundararajan S. Effect of Head-Neck Position on Cervical Facet Stretch of Post Mortem Human Subjects During Low Speed Rear End Impacts [PhD thesis]. Detroit, MI: Wayne State University; 2005.