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Journal : JOURNAL LA MEDIHEALTICO

Clay-Shoveler Fracture in a Golfer: A Rare Sports Injury Case Report Bari, Yunus Abdul; Amir, Muhammad Rafif
Journal La Medihealtico Vol. 5 No. 5 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i5.1548

Abstract

Clay-shoveler's fracture is a relatively rare stress-type avulsion fracture of the lower cervical or upper thoracic spinous processes, most commonly occurring at C7 and T1. The term of this injury comes from its historical association with manual laborers who lifted and threw big objects, as well as with scooping huge loads of clay in the early 20th centuryThe case report describes A 29 year old male experienced severe back pain after playing golf. at the time of the golf swing, the golf swing did not hit the ball but hit the ground. the patient experienced radiculopathy pain to both hands. A "pop" sound was audible in the spine at the moment of the hitting fault, and there was no paralysis in the lower limbs.The primary method for managing a clay-shoveler fracture is conservative. In most cases, traction of the rhomboid and trapezius muscles on the spinous process leads to nonunion. In rare cases if the pain persists, surgically removing the bone fragment may be a possibility.
Scalenectomy Anterior as an Option for Thoracal Outlet Syndrome Bari, Yunus Abdul; Rafif Amir, Muhammad; Suroto, Heri; Pradana, Reyhan Pradnya
Journal La Medihealtico Vol. 5 No. 6 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i6.1677

Abstract

The term "thoracic outlet syndrome" (TOS) refers to a collection of conditions that cause compression of the neurovasculature as it leaves the thoracic outlet. The condition was initially identified in 1956. The scalene triangle, the costoclavicular space, and the subcoracoid region are the three spaces where TOS typically occurs. The brachial plexus, the axillary artery and vein, and the subclavian artery and vein are all of the structures involved with TOS. A 38-year-old male presented to the orthopaedic department. He complained about weakness and numbness in her left arm that had been present for 15 years. The complaints had been aggravated over the last 3 years which was exacerbated by activities that required her to lift her arm. The most prevalent causes of TOS are congenital, traumatic, or functional. TOS is classified into three categories based on its clinical presentation: neurogenic (nTOS), venous (vTOS), and arterial (aTOS), with nTOS being the most frequent. Treatment for Thoracal Outlet Syndrome is conservative. However, if conservative treatment does not work well, operative treatment is needed.