DIAGNOSTIC: Standards There is insufficient evidence to support diagnostic standards. Guidelines Computed tomographic imaging is recommended for establishing the diagnosis of occipital condyle fractures. Clinical suspicion should be raised by the presence of one or more of the following criteria: blunt trauma patients sustaining high-energy craniocervical injuries, altered consciousness, occipital pain or tenderness, impaired cervical motion, lower cranial nerve paresis, or retropharyngeal soft tissue swelling. Options Magnetic resonance imaging is recommended to assess the integrity of the craniocervical ligaments. TREATMENT: Standards There is insufficient evidence to support treatment standards. Guidelines There is insufficient evidence to support treatment guidelines. Options Treatment with external cervical immobilization is recommended.