Hangman's fracture: Difference between revisions
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*Is an [[unstable spine fractures|unstable spine injury]] | *Is an [[unstable spine fractures|unstable spine injury]] | ||
*Bilateral C2 pedicle fracture (leads to C2 displacing anteriorly on C3) | *Bilateral C2 pedicle fracture (leads to C2 displacing anteriorly on C3) | ||
{{Vertebral fractures and dislocations types}} | |||
==Clinical Features== | ==Clinical Features== | ||
[[File:Hangman fracture.png|thumb|Hangman's Fracture]] | [[File:Hangman fracture.png|thumb|Hangman's Fracture]] | ||
*Seen in MVA | *Seen in MVA, diving accidents, but uncommonly judicial hangings (not in suicidal hangings)<ref>James, R. and Nasmyth-Jones, R. (1992) ‘The occurrence of cervical fractures in victims of judicial hanging’, Forensic Science International, 54(1), pp. 81–91</ref> | ||
**Forced extension of an already extended neck | **Forced extension of an already extended neck | ||
*Spinal cord damage is often minimal (diameter of neural canal is greatest at C2) | *Spinal cord damage is often minimal (diameter of neural canal is greatest at C2) | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{ | {{Blunt neck trauma DDX}} | ||
== | ==Evaluation== | ||
*Xray or CT cervical | |||
==Management== | ==Management== | ||
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==See Also== | ==See Also== | ||
*[[Cervical spine injuries]] | *[[Cervical spine injuries]] | ||
==References== | |||
<references/> | |||
[[Category:Trauma]] | [[Category:Trauma]] | ||
[[Category: | [[Category:Orthopedics]] | ||
Revision as of 13:17, 24 October 2020
Background
- Also known as traumatic spondylolisthesis
- Is an unstable spine injury
- Bilateral C2 pedicle fracture (leads to C2 displacing anteriorly on C3)
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
Clinical Features
- Seen in MVA, diving accidents, but uncommonly judicial hangings (not in suicidal hangings)[1]
- Forced extension of an already extended neck
- Spinal cord damage is often minimal (diameter of neural canal is greatest at C2)
Differential Diagnosis
Neck Trauma
- Penetrating neck trauma
- Blunt neck trauma
- Cervical injury
- Neurogenic shock
- Spinal cord injury
Evaluation
- Xray or CT cervical
Management
Prehospital Immobilization
See NAEMSP National Guidelines for Spinal Immobilization
Hospital
- C-collar
- Consult ortho or spine as needed
Disposition
- Admit
See Also
References
- ↑ James, R. and Nasmyth-Jones, R. (1992) ‘The occurrence of cervical fractures in victims of judicial hanging’, Forensic Science International, 54(1), pp. 81–91