Cervical spinous process fracture: Difference between revisions
Ostermayer (talk | contribs) (Text replacement - "Category:Ortho" to "Category:Orthopedics") |
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==Clinical Features== | ==Clinical Features== | ||
*C7>C6>T1 avulsion | *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 | ||
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==Workup== | ==Workup== | ||
*r/o lamina and facet | *r/o lamina and facet fracture, r/o jumped facet | ||
==Management== | ==Management== | ||
Revision as of 22:36, 9 July 2016
Background
- Also known as "Clay shoveler's" fracture
- A cervical spinous process fracture
- Stable
Clinical Features
- 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
Differential Diagnosis
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
Workup
- r/o lamina and facet fracture, r/o jumped facet
Management
- Prehospital Immobilization see NAEMSP National Guidelines for Spinal Immobilization
- Non-operative
- Collar for 10 days with ortho f/u
Disposition
- Outpatient