Multiple facet joint ruptures and
fractures of the transverse processes from C4 to C6. At autopsy a
hematoma in the longus colli musculature extended along the brachial
plexus into the axilla. These serial fractures were detected at
second look on the specimen radiograms. The fractures run
posteriorly through the intertransverse bar into the joints that
display tom capsules and meniscoids and hemarthrosis. Large
hematomas surround the (postganglionic) nerve trunks of the brachial
plexus, some are punctured by sharp bony spikes. All
occipito–atlanto–axial ligaments were also torn in this specimen.
©2000 Wolfgang Rauschning, M.D., Ph.D.
Professor of Clinical Anatomy
Department of Orthopaedic Surgery
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