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Question

Hangman's fracture is

The correct answer is
traumatic spondylolisthesis of axis vertebra ($C_2$)

Hangman's Fracture Explained: Axis Vertebra ($C_2$) Injury

Hangman's fracture is a specific type of injury affecting the cervical spine. It involves a fracture through the arch of the axis vertebra, which is the second cervical vertebra ($C_2$).

  • This fracture often results from a hyperextension injury, typically caused by sudden forceful extension of the head and neck, such as in motor vehicle accidents or falls.
  • It is characterized by a fracture of the pars interarticularis (or pedicles) of the $C_2$ vertebra.
  • This injury commonly leads to anterior displacement of the $C_2$ vertebra relative to the atlas ($C_1$) vertebra.
  • This displacement is classified as traumatic spondylolisthesis.

Based on this definition:

  • Option 1 is incorrect as it refers to the atlas ($C_1$).
  • Option 2 correctly identifies Hangman's fracture as traumatic spondylolisthesis of the axis vertebra ($C_2$).
  • Options 3 and 4 are incorrect as they involve different regions of the spine (thoracic and lumbar).

Therefore, the correct description of Hangman's fracture is traumatic spondylolisthesis of the axis vertebra ($C_2$).

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Important Questions from Bones & Joints

  1. A 40-year-old lady complains of progressive deformities of her hands and fingers associated with stiffness which is present in both the hands and improves as the day progresses. On examination, there is symmetrical involvement of hands and fingers of both the upper limbs with flexion and ulnar deviation at the metacarpophalangeal joints. What is the most likely diagnosis in this lady?
  2. A 52-year-old female complains of increasing pain in the right shoulder. She is also finding it increasingly difficult to do overhead abduction of the affected joint. She had been diagnosed as a diabetic 20 years back and is on treatment since then. What is the most likely cause of her clinical condition?
  3. Consider the following : 

    1. Pain relief 

    2. Prevention of infection 

    3. Anaesthesia 

    4. Restoration of anatomy 

    Which of the features given above are benefits of fracture treatment?

  4. Which of the following is NOT true about Dupuytren's Contracture?
  5. Which of the following statements regarding the flat foot are true?
    1. All children below 3 year have flat foot
    2. 15% adult have flat foot
    3. Painless flexible foot need no treatment
    4. Rigid flat foot is a result of tarsal coalition
    Select the correct answer using the code given below:
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