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Letters |

Sudden Death Due to Neck Blows Among Amateur Hockey Players

Barry J. Maron, MD; Liviu C. Poliac, MD; Alan B. Ashare, MD; Walter A. Hall, MD
JAMA. 2003;290(5):599-601. doi:10.1001/jama.290.5.599.
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Figure. Proposed Anatomical Basis by Which a High-Velocity Blow to One Side of the Neck by a Hockey Puck May Produce Vertebral Artery (or Internal Carotid Artery) Rupture
Graphic Jump Location
A, Anatomy of the vertebral artery as the vessel courses through the bony canal of the foramina transversarium. B, Enlarged area of detail. C, View from above at the level of C1. In both B and C, arrowheads indicate the 3 anatomical points at which the vertebral artery is rigidly anchored as it traverses the transverse process of the first cervical vertebra through the foramen transversarium, the posterior atlanto-occipital membrane, and the dura mater. A blow to the neck by a hockey puck may produce arterial rupture where the vertebral artery penetrates the posterior atlanto-occipital membrane or the dura mater.



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