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http://dx.doi.org/10.3340/jkns.2012.52.6.570

Multiple Cervical Spinous Process Fractures in a Novice Golf Player  

Kim, Sei-Yoon (Department of Neurosurgery, Seoul Chuk Spine Hospital)
Chung, Sang Ki (Department of Neurosurgery, Seoul Chuk Spine Hospital)
Kim, Dong-Yun (Department of Neurosurgery, Seoul Chuk Spine Hospital)
Publication Information
Journal of Korean Neurosurgical Society / v.52, no.6, 2012 , pp. 570-573 More about this Journal
Abstract
Avulsion of spinous process, also called Clay-shoveler's fracture, is most prevalent among those engaged in hard physical labor. To the best of the author's knowledge, only one case of multiple spinous process fractures of the upper thoracic spine in a novice golfer has been reported. A 45-year-old female presented with intractable posterior neck pain. The patient experienced a sharp, sudden pain on the neck while swinging a golf club, immediately after the club head struck the ground. Dynamic cervical radiographic findings were C6 and C7 spinous process fractures. Magnetic resonance imaging revealed C6 and C7 spinous process fractures without spinal cord pathology. The patient was treated with pain medications and cervical bracing. The patient's pain gradually improved. The injury mechanism was speculated to be similar to Clay-shoveler's fracture. Lower cervical spinous process fractures can be associated with a golf swing. If the patient complains of long lasting neck pain and has a history of golf activity, further study should be conducted to rule out lower cervical spinous fracture.
Keywords
Golf injury; Cervical spinous process fracture; Trapezius muscle;
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