Spine · 2012
Clay-shoveler's fracture equivalent in children.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Yamaguchi Kent T, Myung Karen S, Alonso Manuel Aparicio, Skaggs David L
Аннотация
STUDY DESIGN: Case report and literature review.
OBJECTIVE: This article reports 2 cases of clay-shoveler's fracture equivalent in children presenting acutely after participation in sports.
SUMMARY OF BACKGROUND DATA: The clay-shoveler's fracture in adults is an avulsion fracture of the lower cervical or upper thoracic spinous process. To our knowledge, this is the first report in English literature on soft-tissue avulsion injury of the spinous process in children presenting with history and symptoms similar to clay-shoveler's fractures.
METHODS: Retrospective review of 2 cases.
RESULTS: A 14-year-old baseball player and a 16-year-old wrestler experienced acute posterior neck pain after participation in sports. Both patients presented with a history and physical examination suggestive of clay-shoveler's fracture but showed no evidence of injury on radiographs. Subsequent magnetic resonance images demonstrated an acute soft-tissue avulsion of the spinous process at C7 in 1 patient and T2 in the other. With nonoperative therapy, both patients returned to sports by 4 months, with occasional, intermittent discomfort a year after injury, which did not limit any activities.
CONCLUSION: In adolescents, if the history and physical examination are consistent with a clay-shoveler's fracture, but radiographs are normal, magnetic resonance imaging may be indicated to diagnose a soft-tissue avulsion.
OBJECTIVE: This article reports 2 cases of clay-shoveler's fracture equivalent in children presenting acutely after participation in sports.
SUMMARY OF BACKGROUND DATA: The clay-shoveler's fracture in adults is an avulsion fracture of the lower cervical or upper thoracic spinous process. To our knowledge, this is the first report in English literature on soft-tissue avulsion injury of the spinous process in children presenting with history and symptoms similar to clay-shoveler's fractures.
METHODS: Retrospective review of 2 cases.
RESULTS: A 14-year-old baseball player and a 16-year-old wrestler experienced acute posterior neck pain after participation in sports. Both patients presented with a history and physical examination suggestive of clay-shoveler's fracture but showed no evidence of injury on radiographs. Subsequent magnetic resonance images demonstrated an acute soft-tissue avulsion of the spinous process at C7 in 1 patient and T2 in the other. With nonoperative therapy, both patients returned to sports by 4 months, with occasional, intermittent discomfort a year after injury, which did not limit any activities.
CONCLUSION: In adolescents, if the history and physical examination are consistent with a clay-shoveler's fracture, but radiographs are normal, magnetic resonance imaging may be indicated to diagnose a soft-tissue avulsion.