Diferencia entre revisiones de «Cervical spinous process fracture»
(Text replacement - "Category:Ortho" to "Category:Orthopedics") |
(Text replacement - "fx" to "fracture") |
||
| Línea 5: | Línea 5: | ||
==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 | ||
| Línea 12: | Línea 12: | ||
==Workup== | ==Workup== | ||
*r/o lamina and facet | *r/o lamina and facet fracture, r/o jumped facet | ||
==Management== | ==Management== | ||
Revisión del 22:36 9 jul 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