The Clay Shoveler's Fracture: A Case Report and Review of the Literature.

Autor: Posthuma de Boer J; Department of Orthopaedic Surgery, VU University Medical Center, Amsterdam, The Netherlands., van Wulfften Palthe AF; Department of Orthopaedic Surgery, VU University Medical Center, Amsterdam, The Netherlands., Stadhouder A; Department of Orthopaedic Surgery, VU University Medical Center, Amsterdam, The Netherlands., Bloemers FW; Department of Traumatology, VU University Medical Center, Amsterdam, The Netherlands.
Jazyk: angličtina
Zdroj: The Journal of emergency medicine [J Emerg Med] 2016 Sep; Vol. 51 (3), pp. 292-7. Date of Electronic Publication: 2016 Jun 01.
DOI: 10.1016/j.jemermed.2016.03.020
Abstrakt: 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.
(Copyright © 2016 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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