Although the relationship between hyoid bone shape and fracture pattern fig
ures prominently in forensic investigations of strangulation, few quantitat
ive data exist on age and sex differences in hyoid morphology. An image ana
lysis system was used to take a series of 30 measurements on digitized radi
ographs of 315 hyoid bones from people of known age and sex. The degree of
fusion of the greater cornua to the hyoid body was also recorded. Statistic
al analysis of these data shows that there is a continuous distribution of
hyoid bone shapes and that most bones are highly symmetrical. Based on smal
ler samples, previous researchers have suggested that non-fusion is more co
mmon in women than in men. In contrast, our data suggest that men and women
have similar nonfusion rates. Analysis of sexual dimorphism shows that the
greatest length differences are in the greater cornua. There are also sign
ificant sex differences in hyoid shape. For example, the distal ends of the
greater cornua of women are significantly longer than those of men.