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.
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©2000 Wolfgang Rauschning, M.D., Ph.D.
Professor of Clinical Anatomy
Academic University Hospital
Department of Orthopaedic Surgery
Uppsala, Sweden
Reproduction without permission is prohibited
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