Volume 49, Issue 3 (May 2004)

    Homicide by Manual Occipitoatlantal Dislocation

    (Received 19 October 2002; accepted 16 January 2004)

    Published Online: March

    CODEN: JFSOAD

      Format Pages Price  
    PDF 3 $25   ADD TO CART


    Abstract

    Occipitoatlantal dislocation is usually seen as a fatal injury in traffic accidents and has rarely been reported as a consequence of a homicide. The authors report the case of a woman presenting a fatal occipitoatlantal dislocation, the circumstances of which pointed to a homicidal origin. Blood extravasation surrounding the muscles of the posterior part of the neck as well as abnormal mobility of the cranio-cervical joint was noted during autopsy; thus a complete dissection of this region was performed. This led to the finding of a fracture of the left occipital condyle and of the left superior articular facet of the atlas. This case clearly demonstrates the need to perform a large, systematic, posterior approach to the upper cervical spine, completed by the opening of the skull around the posterior fossa, when injury to the cranio-cervical junction is suspected. In these cases, the classic anterior approach gives poor information and poor dissection possibilities.


    Author Information:

    Tracqui, A
    Institut de Medecine Legale-11, rue Humann,

    Ludes, B
    Institut de Medecine Legale-11, rue Humann,

    Raul, JS
    Institut de Medecine Legale-11, rue Humann,


    Stock #: JFS2002378

    ISSN: 0022-1198

    DOI: 10.1520/JFS2002378

    ASTM International
    is a member of CrossRef.

    Author
    Title Homicide by Manual Occipitoatlantal Dislocation
    Symposium , 0000-00-00
    Committee E30