Cervical zygapophyseal joint pain patterns, II:​ a clinical evaluation

Aprill, Charles; Dwyer, Anthony; Bogduk, Nikolai

Affiliations

¹Diagnostic Imaging, New Orleans, Louisiana

²Department of Orthopaedic Surgery, University of Colorado Health Sciences Center, Denver, Colorado

³Faculty of Medicine, University of Newcastle, Newcastle, Australia

Abstract and keywords

To test the predictive value of segmental pain charts, ten patients with suspected cervical zygapophyseal pain were studied. Their pain distribution was recorded on a body diagram, and using pain charts derived from studies on normal volunteers, predictions were made by two observers of the segmental location of the symptomatic joint. Correct predictions were made in all nine patients who were shown to have symptomatic joints on the basis of diagnostic joint blocks. The results vindicate the accuracy of pain charts for predicting the segmental location of symptomatic joints in patients with cervical joint pain.

Keywords: neck pain; cervical zygapophyseal joints; referred pain

Links

DOI: 10.1097/00007632-199006000-00005

PubMed: 2402683

WoS: A1990DT93400005

Ovid: 00007632-199006000-00005

History

Received: 1989-12-01

Accepted: 1989-12-01

Cited Works (1)

Year	Entry
1990	Dwyer A, Aprill C, Bogduk N. Cervical zygapophyseal joint pain patterns, I: a study in normal volunteers. Spine. June 1990;15(6):453-457.

Cited By (14)

Year	Entry
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.
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.
2001	Yoganandan N, Kumaresan S, Pintar FA. Biomechanics of the cervical spine, II: cervical spine soft tissue responses and biomechanical modeling. Clin Biomech (Bristol, Avon). January 2001;16(1):1-27.
1998	Kumaresan S, Yoganandan N, Pintar FA. Finite element modeling approaches of human cervical spine facet joint capsule. J Biomech. April 1998;31(4):371-376.
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.
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.
1999	Yoganandan N, Pintar FA, Kleinberger M. Whiplash injury: biomechanical experimentation. Spine. January 1, 1999;24(1):83-85.
2001	Cusick JF, Pintar FA, Yoganandan N. Whiplash syndrome: kinematic factors influencing pain patterns. Spine. June 2, 2001;26(11):1252-1258.
2001	Yoganandan N, Cusick JF, Pintar FA, Rao RD. Whiplash injury determination with conventional spine imaging and cryomicrotomy. Spine. November 15, 2001;26(22):2443-2448.
2003	Yoganandan N, Knowles SA, Maiman DJ, Pintar FA. Anatomic study of the morphology of human cervical facet joint. Spine. October 15, 2003;28(20):2317-2323.
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.
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.