Scarf-Related Hangman's Fracture: A Case Report

作者：Chiu Chee Kidd^*; Chan Chris Yin Wei; Saw Lim Beng; Kwan Mun Keong

来源：European Journal of Trauma and Emergency Surgery, 2010, 36(2): 180-182.

DOI：10.1007/s00068-009-8212-3

• Axis
• Hangman
• Spondylolisthesis
• Spine
• Trauma management and education

Background: Injury to the cervical spine due to a scarf-associated accident has not been reported in the literature. We present a case of a hangman's fracture in a 43-year-old woman that resulted from a scarf-related injury as a consequence of a motor vehicle accident.
Purpose: To identify the mechanism of a scarf-related injury causing Hangman's fracture.
Case Report: A 43-year-old woman was involved in a motor vehicle accident. She was wearing a scarf, which is a common clothing accessory for women in Malaysia. The scarf was violently torn off her head during the injury, causing a type I hangman's fracture. A halo vest for a total period of 3 months was applied.
Conclusion: A scarf-related injury can cause an injury that resembles judicial hanging, leading to a traumatic spondylolisthesis of the axis. Careful evaluation of the cervical spine radiographs is crucial as occult fracture of the axis can be missed.

• 出版日期2010-4