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

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• 作者：Jantine Posthuma de Boer ; MD ; PhD^&lowast ; ; ; Alexander F.Y. van Wulfften Palthe ; MD^&lowast ; ; Agnita Stadhouder ; MD^&lowast ; ; Frank W. Bloemers ; MD ; PhD^&dagger ;
• 关键词：clay-shoveler's fracture ; spinous process ; stress fracture ; spine
• 刊名：Journal of Emergency Medicine
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：51
• 期：3
• 页码：292-297
• 全文大小：292 K

文摘

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

ra0015">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?

ra0020">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.