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- W1987209464 abstract "In Brief 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. We report two adolescents with history and physical examination suggestive of a clay-shoveler's fracture. Radiographs showed no abnormalities, but magnetic resonance images demonstrated softtissue avulsions of the spinous processes (C7 and T2). These adolescent clay-shoveler's equivalents were treated nonoperatively, and had no limitations in activity after 1 year." @default.
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- W1987209464 date "2012-12-01" @default.
- W1987209464 modified "2023-10-18" @default.
- W1987209464 title "Clay-Shovelerʼs Fracture Equivalent in Children" @default.
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- W1987209464 doi "https://doi.org/10.1097/brs.0b013e318273e191" @default.
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