Classic but unexpected: a case of Jefferson fracture

Author:

Gassend Jean-LoupORCID,Braham Mohamed Yassine,Vilarino Raquel,Magnin Virginie

Abstract

AbstractA man was found lying dead next to a ladder, with only a laceration surrounded by an abrasion visible upon external examination. No skull fractures were palpable. A CT scan and MRI showed a Jefferson fracture of the atlas, associated to a posterior displacement of the skull, a fracture of the dens of the axis, and fractures of the bodies of C5 and C6. Jefferson fractures typically result from a blow to the apex of the skull. In such cases, forensic pathologists should suspect the existence of a Jefferson fracture, particularly when no severe injuries are visible externally.

Funder

University of Lausanne

Publisher

Springer Science and Business Media LLC

Subject

General Medicine,Pathology and Forensic Medicine

Reference3 articles.

1. Jefferson G. Fracture of the atlas vertebra Report of four cases, and a review of those previously recorded. Brit J Surg. 1919;27:407–22.

2. Lekic N, Sheub J, Ennisa H, Lebwohla N, Al-Maaieha M. Why you should wear your seatbelt on an airplane: Burst fracture of the atlas (Jefferson fracture) due to in-flight turbulence. J Orth. 2020;17:78–82.

3. Levine A, Edwards C. Fractures of the atlas. J Bone Joint Surg. 1991;73:680–91.

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