Evidence map›Paper›PMID 41706694›Full record

ArticlePain medicine (Malden, Mass.)2026

Subfailure capsule strain as the cause of cervical zygapophysial joint pain after whiplash: a scoping review.

Nikolai Bogduk, John MacVicar

Abstract readScoping Review
In one paragraph

Article in Pain medicine (Malden, Mass.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Nikolai BogdukSchool of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia.ORCID 0000-0002-9051-0332
John MacVicarMSK Medicine Specialists, Christchurch, New Zealand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe cause of neck pain after whiplash is regarded as unknown, but Bioengineers have published studies implicating subfailure injuries of the cervical zygapophysial joints as a leading cause of pain.

objectivesA scoping review was undertaken to determine the size and nature of the evidence for subfailure injuries as a cause of pain after whiplash. ELIGIBILTY: Considered eligible were any articles that provided evidence on the nature of subfailure injuries and their ability to evoke pain or elicit nociceptive activity in the nervous system. SOURCES: Articles were sought in the databases of PubMed and EMBASE. Searches were performed in March 2025 and repeated in September 2025.

resultsThe searches yielded 49 articles that described the microscopic structure of subfailure injuries, their ability to evoke pain behaviors in experimental animals, and features of persistent nociception and hypersensitivity in dorsal roots, dorsal root ganglia, the dorsal horn, and in the thalamus.

conclusionsThere is an abundant literature that defines subfailure injuries and shows that they evoke features of persistent nociception in the peripheral and central nervous system. Overlooked in the clinical literature, this evidence warrants greater recognition in the literature and practice of pain medicine.

Indexed as

ArthralgiaJoint CapsuleNeck PainWhiplash InjuriesZygapophyseal JointAnimalsHumanscapsuleneck painsubfailure injurywhiplashzygapophysial joint

Identifiers

PMID41706694
PMCPMC13428909

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.