Hangman’s Fracture

hangman’s fracture

A hangman’s fracture is a fracture which involves both pars interarticularis of C2, and is as a result of hyperextension and distraction. This is known as a judical lesion as these are the forces delivered by a noose, which contrary to most ill-informed depictions, was placed with the knot towards the side of the neck, next to the angle of the mandible / mastoid process.

Treatment can be bracing or more typically internal fixation.

References:

  1. WheelessOnline
  2. Wikipedia - hanging
Credit: Dr Frank Gaillard