Neck injuries
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Discussion

Dr Jekyll

Original Poster:

23,820 posts

290 months

Saturday 29th June 2019
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Slightly morbid even for Health matters. But when someone breaks their neck in an accident is it invariably a head impact that causes the damage or is an impact direct to the neck common? And in the case of head impacts, is it the head going in a particular direction that is most dangerous?

DevestatinDave

51 posts

218 months

Saturday 29th June 2019
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In the context of motorsport accidents, there isn't generally an impact to the neck itself. When there's sudden deceleration as a result of the car hitting something, the body of the driver is usually well restrained by the harness but the head might not be. The additional weight of the helmet and the head being unrestrained can result in the head snapping forward, causing a basilar skull fracture. A lot motorsport nowadays mandates the use of a HANS device which keeps the head restrained as well, but certainly not everything.

An example of the difference it can make in an accident (guy on the left doesn't have one): https://www.youtube.com/watch?v=g40YatgE_CE

SVS

3,824 posts

300 months

Saturday 29th June 2019
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I wonder why most of the motorbike airbag jackets don’t have much in the way of neck protection (e.g. Alpinestars Tech-Air Street) frown

JapanRed

1,591 posts

140 months

Sunday 30th June 2019
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Dr Jekyll said:
Slightly morbid even for Health matters. But when someone breaks their neck in an accident is it invariably a head impact that causes the damage or is an impact direct to the neck common? And in the case of head impacts, is it the head going in a particular direction that is most dangerous?
Loads of mechanisms of injury. Invariably there is some sort of flexion, extension or rotation of the head/neck that causes the injury. This flexion/extension may be caused by a head injury eg via a fall downstairs.

What makes you ask OP?

Dr Jekyll

Original Poster:

23,820 posts

290 months

Monday 1st July 2019
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I was watching one of the 'ER air ambulance' type programs with a number of suspected neck breaks and wondered what if anything could protect someone. HANS seems a partial answer.

Drumroll

4,512 posts

149 months

Monday 1st July 2019
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Dr Jekyll said:
I was watching one of the 'ER air ambulance' type programs with a number of suspected neck breaks and wondered what if anything could protect someone. HANS seems a partial answer.
HANS or the Simpson hybrid are certainly effective. The HANS will only work with a full harness, some people claim the Simpson can work with just a normal diagonal belt. There is a neck brace for motocross riders (Leatt) but is not approved for road racing bikes.

None of the above will work effectively in all situations and particularly the Simpson and the Leatt as they need to be set up right in the beginning (more adjustments available)

We have certainly seen a drop in neck injuries in Motorsport (4 wheels) since the introduction of FHR's (Frontal Head Restraints) Don't know enough about the Leatt to say what effect it has had on Motocross.

To add to the list that JapanRed posted there are also Compression Spinal Injuries eg jumping/falling from height and landing on your feet can also cause injuries to the spine.

Dr Jekyll

Original Poster:

23,820 posts

290 months

Monday 1st July 2019
quotequote all
Drumroll said:
To add to the list that JapanRed posted there are also Compression Spinal Injuries eg jumping/falling from height and landing on your feet can also cause injuries to the spine.
Or diving into shallow or empty swimming pools presumably. I once knew someone whose job was flying a Learjet to repatriate very seriously injured UK tourists, by far the most common injury was apparently neck fracture through diving, very often in Cyprus for some reason.

JapanRed

1,591 posts

140 months

Monday 1st July 2019
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Dr Jekyll said:
Drumroll said:
To add to the list that JapanRed posted there are also Compression Spinal Injuries eg jumping/falling from height and landing on your feet can also cause injuries to the spine.
Or diving into shallow or empty swimming pools presumably. I once knew someone whose job was flying a Learjet to repatriate very seriously injured UK tourists, by far the most common injury was apparently neck fracture through diving, very often in Cyprus for some reason.
I’ve seen tons of mechanisms of broken necks. One was a young lad ran into the sea from the beach, dove forward and hit a sandbank.

Injuries range from no long term issues to death. Very variable and Lady Luck plays a big part in my experience. Lots of people in very high impact scenarios walk away whilst others have quite minor trauma and don’t survive.

SVS

3,824 posts

300 months

Monday 1st July 2019
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Leatt published some motorcycling statistics on neck injury, as well as a longer white paper on neck injuries.

Steviesam

1,424 posts

163 months

Tuesday 2nd July 2019
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I broke my odontoid peg and C2, C3 and a few "Ts"

Utterly remarkable that I fully recovered!

JapanRed

1,591 posts

140 months

Tuesday 2nd July 2019
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Steviesam said:
I broke my odontoid peg and C2, C3 and a few "Ts"

Utterly remarkable that I fully recovered!
Good to hear you’ve recovered.
For info, your odontoid peg is C2.

Steviesam

1,424 posts

163 months

Wednesday 3rd July 2019
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Oh!

It was in 1997 so I am not really surprised I got it wrong!