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Scarf-Related Hangman's Fracture: A Case Report
European Journal of Trauma and Emergency Surgery (2010)
  • Mun Keong Kwan
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.
  • Axis Hangman Spondylolisthesis Spine Trauma management and education traumatic spondylolisthesis axis
Publication Date
April, 2010
Citation Information
Mun Keong Kwan. "Scarf-Related Hangman's Fracture: A Case Report" European Journal of Trauma and Emergency Surgery Vol. 36 Iss. 2 (2010)
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