MyPACS.net: Radiology Teaching Files > Case 2856924

Never visited CLAY-SHOVLER'S FRACTURE C6 & C7 (CHRONIC)
Contributed by: Fritsch & Thompson, Radiologist, Diagnostic Radiology of Houston, Texas, USA.
Patient: 22 year old male
History: Acute neck pain following fracture. R/O fracutre.
Images:[small]larger

Fig. 1: Lateral cervical spine

Fig. 2: Close-up lateral C6 & C7 spinouses.

Fig. 3: Flexion lateral.

Fig. 4: FSE T1 Sagittal.

Fig. 5: FSE T2 sagittal.
Findings: 2 avulsion fractures of the C6 & C7 spinous process are seen. But these are not acute since they have sclerotic margins indicative of chronic non-union avulsion fractures. No other fractures are seen.
Diagnosis: Chronic non-union clay shoveler (avulsion) fractures of C6 & C7.
References: Ref. Physician: Dennis Brando, DC
Comments:
These spinous process fractures, by themselves, do not require surgical intervention-acute or chronic. Flexion and Extension lateral xray, as well as MRI, can rule out ligamentous injuries which results in instabilities requiring surgical intervention. Peter J. Yeh, MD. Bellaire, TX.--Peter Yeh, 2005-10-28
Additional Details:

Case Number: 2856924Last Updated: 2011-06-16
Anatomy: Spine and Peripheral Nervous System   Pathology: Trauma
Modality: Conventional Radiograph, MRAccess Level: Readable by all users
Keywords: cervical spine, fractures, avulsion, c6,c7, clay shoveler's

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