A flexion injury may show which findings?

• A. Forward Dislocation
• B. Ruptured Posterior Ligaments
• C. Both Forward Dislocation and Ruptured Posterior Ligaments
• D. Spine Extended Forward

Answer: (C)

Flexion injuries place the posterior ligamentous structures under tension while allowing the anterior column to fail and the vertebrae to shift forward. Because the posterior ligaments can tear and the vertebral body can move anteriorly, you can see both forward dislocation and ruptured posterior ligaments together in a flexion injury. This combination reflects loss of stability on both the anterior and posterior aspects of the spinal column. An extension pattern, not a flexion one, would imply different injury mechanics, so “spine extended forward” isn’t the typical finding here.