Hangman's fracture: Difference between revisions
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==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, and judicial hangings (not in suicidal hangings) | ||
**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) | ||
Revision as of 23:17, 18 February 2015
Background
- Also known as traumatic spondylolisthesis
- Is an unstable spine injury
- Bilateral C2 pedicle fracture (leads to C2 displacing anteriorly on C3)
Clinical Features
- Seen in MVA, diving accidents, and judicial hangings (not in suicidal hangings)
- Forced extension of an already extended neck
- Spinal cord damage is often minimal (diameter of neural canal is greatest at C2)
Differential Diagnosis
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
Workup
Management
Prehospital Immobilization
See NAEMSP National Guidelines for Spinal Immobilization
Hospital
- C-collar
- Consult ortho or spine as needed
Disposition
- Admit