Clay Shoveler's Fracture: A Pain in the Neck

Clay shoveler's fracture is a stable spinous process fracture commonly occurring at the seventh cervical vertebrae. The name originated in Australia during the 1930s, after many reports of similar injuries among clay workers who suffered fractures due to a sudden flexion force on their neck and...

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Main Authors: Marc Boutros, Maria R. Karam, Maria El Asmar, Emmanuelle Wakim, Labib Chebli, Pierre Maurice Doumit Bader Tarabay, Sami Roukoz
Format: Article
Language:English
Published: The Japanese Society for Spine Surgery and Related Research 2025-01-01
Series:Spine Surgery and Related Research
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Online Access:https://www.jstage.jst.go.jp/article/ssrr/9/1/9_2024-0164/_pdf/-char/en
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author Marc Boutros
Maria R. Karam
Maria El Asmar
Emmanuelle Wakim
Labib Chebli
Pierre Maurice Doumit Bader Tarabay
Sami Roukoz
author_facet Marc Boutros
Maria R. Karam
Maria El Asmar
Emmanuelle Wakim
Labib Chebli
Pierre Maurice Doumit Bader Tarabay
Sami Roukoz
author_sort Marc Boutros
collection DOAJ
description Clay shoveler's fracture is a stable spinous process fracture commonly occurring at the seventh cervical vertebrae. The name originated in Australia during the 1930s, after many reports of similar injuries among clay workers who suffered fractures due to a sudden flexion force on their neck and back muscles, hence the name “clay shoveler's fracture.” This fracture may occur as a consequence of a direct blow/trauma, a contraction of the shoulder muscles, and sudden extreme movements of the neck influenced by additional factors presented throughout the article. Clay shoveler's fracture mechanisms vary among different age groups; Schmitt's disease is the juvenile version. Although this fracture was initially associated with clay shoveling, it occurs in modern-day sports and activities such as paddling, weightlifting, volleyball, Wii gaming, and many more. A rare occurrence, clay shoveler's fracture is frequently misdiagnosed. Hence, many characteristics were pinpointed to help distinguish it from other differential diagnostics. What does a clay shoveler's fracture patient feel? What are the best tools for the physical exam and imaging? These questions will be answered and developed in this article to reach the right diagnosis and correct treatment for the patient.
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issn 2432-261X
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publisher The Japanese Society for Spine Surgery and Related Research
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series Spine Surgery and Related Research
spelling doaj-art-f4ce6719b4a349c483fe27db72dbfb952025-02-09T23:30:07ZengThe Japanese Society for Spine Surgery and Related ResearchSpine Surgery and Related Research2432-261X2025-01-0191112110.22603/ssrr.2024-01642024-0164Clay Shoveler's Fracture: A Pain in the NeckMarc Boutros0Maria R. Karam1Maria El Asmar2Emmanuelle Wakim3Labib Chebli4Pierre Maurice Doumit Bader Tarabay5Sami Roukoz6Department of Orthopedic Surgery, Faculty of Medicine, Saint Joseph University of BeirutDepartment of Orthopedic Surgery, Faculty of Medicine, Saint Joseph University of BeirutDepartment of Orthopedic Surgery, Faculty of Medicine, Saint Joseph University of BeirutDepartment of Orthopedic Surgery, Faculty of Medicine, Saint Joseph University of BeirutDepartment of Orthopedic Surgery, Faculty of Medicine, Saint Joseph University of BeirutDepartment of Orthopedic Surgery, Faculty of Medicine, Saint Joseph University of BeirutDepartment of Orthopedic Surgery, Faculty of Medicine, Saint Joseph University of BeirutClay shoveler's fracture is a stable spinous process fracture commonly occurring at the seventh cervical vertebrae. The name originated in Australia during the 1930s, after many reports of similar injuries among clay workers who suffered fractures due to a sudden flexion force on their neck and back muscles, hence the name “clay shoveler's fracture.” This fracture may occur as a consequence of a direct blow/trauma, a contraction of the shoulder muscles, and sudden extreme movements of the neck influenced by additional factors presented throughout the article. Clay shoveler's fracture mechanisms vary among different age groups; Schmitt's disease is the juvenile version. Although this fracture was initially associated with clay shoveling, it occurs in modern-day sports and activities such as paddling, weightlifting, volleyball, Wii gaming, and many more. A rare occurrence, clay shoveler's fracture is frequently misdiagnosed. Hence, many characteristics were pinpointed to help distinguish it from other differential diagnostics. What does a clay shoveler's fracture patient feel? What are the best tools for the physical exam and imaging? These questions will be answered and developed in this article to reach the right diagnosis and correct treatment for the patient.https://www.jstage.jst.go.jp/article/ssrr/9/1/9_2024-0164/_pdf/-char/enclay shoveler's fracturespinous process fracturestress fracturespine (cervical, thoracic, lumbar)vertebral columntrauma
spellingShingle Marc Boutros
Maria R. Karam
Maria El Asmar
Emmanuelle Wakim
Labib Chebli
Pierre Maurice Doumit Bader Tarabay
Sami Roukoz
Clay Shoveler's Fracture: A Pain in the Neck
Spine Surgery and Related Research
clay shoveler's fracture
spinous process fracture
stress fracture
spine (cervical, thoracic, lumbar)
vertebral column
trauma
title Clay Shoveler's Fracture: A Pain in the Neck
title_full Clay Shoveler's Fracture: A Pain in the Neck
title_fullStr Clay Shoveler's Fracture: A Pain in the Neck
title_full_unstemmed Clay Shoveler's Fracture: A Pain in the Neck
title_short Clay Shoveler's Fracture: A Pain in the Neck
title_sort clay shoveler s fracture a pain in the neck
topic clay shoveler's fracture
spinous process fracture
stress fracture
spine (cervical, thoracic, lumbar)
vertebral column
trauma
url https://www.jstage.jst.go.jp/article/ssrr/9/1/9_2024-0164/_pdf/-char/en
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AT mariarkaram clayshovelersfractureapainintheneck
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AT emmanuellewakim clayshovelersfractureapainintheneck
AT labibchebli clayshovelersfractureapainintheneck
AT pierremauricedoumitbadertarabay clayshovelersfractureapainintheneck
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