We do not know yet.What do you bet?
A 2018 forensic pathology paper by Zátopková et al found that hyoid fractures in hanging victims occurred in 72.5 percent of the 178 cases studied. Another paper from 1996 by Pollanen and Chiasson said the hyoid is fractured in one-third of all homicides by strangulation.
However, a 2010 paper by the anthropologist Kenneth A.R. Kennedy warned that hyoid fractures can be misinterpreted in homicide cases because there is a range of reasons for them to occur.
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