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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.
Corticosteroid Effect in Acute Spinal Cord Injury in the Rural Area Amir, Muhammad Rafif; Mahartha, Gde Rastu Adi
Journal of Medicine and Health Technology Vol. 1 No. 2 (2024)
Publisher : Direktorat Riset dan Pengabdian Kepada Masyarakat, Institut Teknologi Sepuluh Nopember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12962/j30466865.v1i2.1198

Abstract

Spinal cord injuries (SCI) are devastating traumatic events in the lives of patients, often resulting in severe and/or permanent neurologic disabilities. Nearly half a million people are living permanently disabled in the United States due to traumatic SCI and 12,000–15,000 patients per year incur new injuries. A 78-year-old male patient came to the emergency room with a history of falling from a height with a pelvic position below exposed to trees 30 hours before admission, found weakness in the lower limbs, unable to urinate since yesterday. On radiologic examination, a burst fracture was found in the collumna of the 1st lumbar vertebra. The patient could not be examined for MRI due to limitations and unavailability of equipment at the hospital. The patient was given high dose of Methylprednisolone treatment for 3 days and there was no motoric improvement in the patient. Acute spinal cord injury is a very dangerous disease because it can cause patients both psychological and non psychological disorders. In areas that are left behind and do not have very good facilities and medical personnel to carry out this treatment. There is no treatment option other than using corticosteroids. However, the effect of corticosteroids still needs to be further developed and researched.