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Clay-shoveler's fracture is a stable fracture through the spinous process of a vertebra occurring at any of the lower cervical or upper thoracic vertebrae, classically at C6 or C7. [1] In Australia in the 1930s, men digging deep ditches tossed clay 10 to 15 feet above their heads using long handled shovels. [ 2 ]
A cervical rib represents a persistent ossification of the C7 lateral costal element. [11] [12] During early development, this ossified costal element typically becomes re-absorbed. Failure of this process results in a variably elongated transverse process or complete rib that can be anteriorly fused with the T1 first rib below. [14]
The long spinous process of C7 is thick and nearly horizontal in direction. It is not bifurcated, and ends in a tubercle that the ligamentum nuchae attaches to. This process is not always the most prominent of the spinous processes, being found only about 70% of the time, C6 or T1 can sometimes be the most prominent.
The nuchal ligament extends from the external occipital protuberance on the skull and median nuchal line to the spinous process of the seventh cervical vertebra in the lower part of the neck. [ 1 ] From the anterior border of the nuchal ligament, a fibrous lamina is given off.
Clay shoveller's fracture: Clay shovellers: spinous process fracture of C6, C7 or T1: forced hyperflexion of neck "Clay shovellers fracture". Medcyclopaedia. GE. Colles' fracture: Abraham Colles: distal radius fracture with dorsal angulation, impaction and radial drift: fall on outstretched hand: Colles' fracture at Whonamedit? Duverney ...
There are 5 types of C1 fractures referred to as the Levine Classification of Atlas Fractures Type 1: Isolated bony apophysis (transverse process fracture Type 2: Isolated posterior arch fractures Type 3: Isolated anterior arch fracture Type 4: Comminuted fracture of the lateral mass Type 5: Bilateral burst fracture (AKA Jefferson Fracture)
Transitional vertebrae have the characteristics of two types of vertebra. The condition usually involves the vertebral arch or transverse processes. It occurs at the cervicothoracic, thoracolumbar, or lumbosacral junction. For instance, the transverse process of the last cervical vertebra may resemble a rib.
Bilateral C2 pars fractures are known as a variant of the hangman's fracture. On an anterior oblique radiograph of the lumbar spine , the pars is the neck of the imaginary Scottie dog; the Scottie dog's eye is the pedicle, [ 3 ] its hindlegs the spinous process, its nose the transverse process, its ear the superior articular facet and its ...