THE CLAY SHOVELER'S FRACTURE: A CASE REPORT AND REVIEW OF THE LITERATURE

被引:13
作者
de Boer, Jantine Posthuma [1 ]
Palthe, Alexander F. Y. van Wulfften [1 ]
Stadhouder, Agnita [1 ]
Bloemers, Frank W. [2 ]
机构
[1] Vrije Univ Amsterdam Med Ctr, Dept Orthopaed Surg, De Boelelaan 1117, NL-1081 HV Amsterdam, Netherlands
[2] Vrije Univ Amsterdam Med Ctr, Dept Traumatol, Amsterdam, Netherlands
关键词
clay-shoveler's fracture; spinous process; stress fracture; spine; SPINOUS PROCESS; STRESS-FRACTURE; PLAYER;
D O I
10.1016/j.jemermed.2016.03.020
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background: A clay-shoveler's fracture is a very rarely occurring stress-type avulsion fracture of the lower cervical or upper thoracic spinous processes owing its name to the clay shovelers of past times. Currently, this type of injury is mainly encountered in individuals practicing sports involving rotational movements of the upper spine. Case Report: We present a case of a man sustaining a clay-shoveler's injury during his work in a horse-riding school. Treatment consisted of a period of rest and analgesics, followed by mobilization as was tolerated. We give a brief historical account of clay shoveler's fractures. Why Should an Emergency Physician Be Aware of This?: Clay-shoveler's fractures are frequently overlooked due to their rareness; however, they have specific clinical features that should alert an attending physician to set the correct diagnosis. This report describes a typical case of a clay-shoveler's fracture, relates to the historical entity of clay-shoveler's fractures, and summarizes existing literature on this topic. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:292 / 297
页数:6
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