This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Forensic Medicine
Hyoid bone fracture most common occurs in ? 
Select and explain. 
A. Manual strangulation, B. Hanging, C. Smothering, D. Traumatic asphyxia
A: Manual strangulation
Answer: A: Manual strangulation 
Explanation: Ans. is 'a' i.e., Manual strangulation As manual strangulation (throttling) is among the most violent form of asphyxia, hyoid fracture and other injury to neck structures is more common.