Cervical spinous process fracture - Revision history

Rossdonaldson1: /* Differential Diagnosis */

2020-10-24T13:18:02Z

Differential Diagnosis

← Older revision		Revision as of 13:18, 24 October 2020
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	==Differential Diagnosis==		==Differential Diagnosis==
			{{Blunt neck trauma DDX}}

	==Evaluation==		==Evaluation==

Rossdonaldson1 at 13:12, 24 October 2020

2020-10-24T13:12:08Z

← Older revision		Revision as of 13:12, 24 October 2020
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	*A [[Unstable spine fractures\|"stable"]] fracture		*A [[Unstable spine fractures\|"stable"]] fracture
	*C7 is most commonly affected		*C7 is most commonly affected

			{{Vertebral fractures and dislocations types}}

	==Clinical Features==		==Clinical Features==
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	==Differential Diagnosis==		==Differential Diagnosis==
	~~{{Cervical spine injuries}}~~

	==Evaluation==		==Evaluation==

Mholtz at 02:45, 9 June 2018

2018-06-09T02:45:26Z

← Older revision		Revision as of 02:45, 9 June 2018
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	==Background==		==Background==
	*Isolated fracture of the spinous processes of the lower cervical or upper thoracic vertebrae		*Isolated fracture of the spinous processes of the lower cervical or upper thoracic vertebrae
	**Caused by hyperflexion of neck → muscles pull on supraspinous ligament → avulsion fracture of spinous process		*Caused by hyperflexion of neck → muscles pull on supraspinous ligament → avulsion fracture of spinous process
	*Also known as "clay shoveler's" ~~fracture~~		*Also known as "clay shoveler's fracture"
	*A [[Unstable spine fractures\|"stable"]] fracture		*A [[Unstable spine fractures\|"stable"]] fracture
	*C7 is most commonly affected		*C7 is most commonly affected
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	==Evaluation==		==Evaluation==
	*Plain films or CT (preferred to eval for other injuries) of cervical/thoracic spine		*Plain films or CT (preferred to eval for other injuries) of cervical/thoracic spine
	*[[Neurologic exam]] (fracture only rarely ~~assoc w/neuro~~ injury)		*[[Neurologic exam]] (fracture only rarely associated with neurologic injury)

	==Management==		==Management==

Josgood: /* Evaluation */

2017-06-11T01:46:19Z

Evaluation

← Older revision		Revision as of 01:46, 11 June 2017
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	==Evaluation==		==Evaluation==
	*Plain films or CT (preferred to eval for other injuries) of cervical/thoracic spine		*Plain films or CT (preferred to eval for other injuries) of cervical/thoracic spine
	*~~Neuro~~ exam (fracture only rarely assoc w/neuro injury)		*[[Neurologic exam]] (fracture only rarely assoc w/neuro injury)

	==Management==		==Management==
	*Prehospital Immobilization see [[EBQ:Prehospital Spine Immobilization\|NAEMSP National Guidelines for Spinal Immobilization]]		*Prehospital Immobilization see [[EBQ:Prehospital Spine Immobilization\|NAEMSP National Guidelines for Spinal Immobilization]]

Josgood at 01:45, 11 June 2017

2017-06-11T01:45:26Z

← Older revision		Revision as of 01:45, 11 June 2017
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	==Evaluation==		==Evaluation==
	*Plain films or CT of cervical/thoracic spine		*Plain films or CT (preferred to eval for other injuries) of cervical/thoracic spine
			*Neuro exam (fracture only rarely assoc w/neuro injury)
	==Management==		==Management==
	*Prehospital Immobilization see [[EBQ:Prehospital Spine Immobilization\|NAEMSP National Guidelines for Spinal Immobilization]]		*Prehospital Immobilization see [[EBQ:Prehospital Spine Immobilization\|NAEMSP National Guidelines for Spinal Immobilization]]

Mholtz at 04:02, 5 June 2017

2017-06-05T04:02:34Z

← Older revision		Revision as of 04:02, 5 June 2017
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	==Background==		==Background==
	*Also known as "~~Clay~~ shoveler's" fracture		*Isolated fracture of the spinous processes of the lower cervical or upper thoracic vertebrae
			**Caused by hyperflexion of neck → muscles pull on supraspinous ligament → avulsion fracture of spinous process
			*Also known as "clay shoveler's" fracture
	*A [[Unstable spine fractures\|"stable"]] fracture		*A [[Unstable spine fractures\|"stable"]] fracture
			*C7 is most commonly affected

	==Clinical Features==		==Clinical Features==
	*~~C7>C6>T1 avulsion fracture; caused by extreme muscle flexion where spinous process is ‘pulled off’~~		*Pain in lower neck/upper back
	*~~Isolated~~ fracture ~~of the spinous processes of the lower cervical vertebrae~~		*Tenderness over fracture site

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Evaluation==		==Evaluation==
	*~~rule out lamina and facet fracture, rule out jumped facet~~		*Plain films or CT of cervical/thoracic spine

	==Management==		==Management==
	*Prehospital Immobilization see [[EBQ:Prehospital Spine Immobilization\|NAEMSP National Guidelines for Spinal Immobilization]]		*Prehospital Immobilization see [[EBQ:Prehospital Spine Immobilization\|NAEMSP National Guidelines for Spinal Immobilization]]
	*~~Non~~-~~operative~~		*Place in cervical collar - high rates of union with conservative management
	**Collar for 10 days with ~~ortho follow up~~

	==Disposition==		==Disposition==
	*~~Outpatient~~		*Discharge

	==See Also==		==See Also==
	*[[Cervical spine injuries]]		*[[Cervical spine injuries]]

			==References==
			<references/>

	[[Category:Trauma]]		[[Category:Trauma]]
	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Rossdonaldson1: /* Background */

2017-06-05T00:43:18Z

Background

← Older revision		Revision as of 00:43, 5 June 2017
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	==Background==		==Background==
	*Also known as "Clay shoveler's" fracture		*Also known as "Clay shoveler's" fracture
	*A "stable" fracture		*A [[Unstable spine fractures\|"stable"]] fracture

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* Background */

2017-06-05T00:42:18Z

Background

← Older revision		Revision as of 00:42, 5 June 2017
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	==Background==		==Background==
	*Also known as "Clay shoveler's" fracture		*Also known as "Clay shoveler's" fracture
	*~~Stable~~		*A "stable" fracture

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* Workup */

2017-06-05T00:41:42Z

Workup

← Older revision		Revision as of 00:41, 5 June 2017
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	{{Cervical spine injuries}}		{{Cervical spine injuries}}

	==~~Workup~~==		==Evaluation==
	*rule out lamina and facet fracture, rule out jumped facet		*rule out lamina and facet fracture, rule out jumped facet

Josgood: /* Clinical Features */

2017-06-04T21:19:26Z

Clinical Features

← Older revision		Revision as of 21:19, 4 June 2017
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	==Clinical Features==		==Clinical Features==
	*C7>C6>T1 avulsion fracture; ; caused by extreme muscle flexion where spinous process is ‘pulled off’		*C7>C6>T1 avulsion fracture; caused by extreme muscle flexion where spinous process is ‘pulled off’
	*Isolated fracture of the spinous processes of the lower cervical vertebrae		*Isolated fracture of the spinous processes of the lower cervical vertebrae