How Pericardium Strains Affect The Neck

The pericardium is suspended posteriorly by

a continuous network of ligament from the

bodies of all vertebrae C4—T4, and anteriorly

to the posterior surface of the sternum by

two ligamentous local thickenings of the

mediastinum at the levels of the third and

fifth ribs. Pericardial support ligament

strains produced by whiplash or other

impact injuries are frequently expressed as

low cervical and upper thoracic stiffness

and pain.