Fracture of the Spinous Process of the Seventh Cervical Vertebra by Golf-Swing

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  • ゴルフスイングによる第7頸椎棘突起骨折の1例

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A man aged thirty-two, pharmaceutist, had begun to play the golf and had been continuing to exercise from April 20, 1966, who sustained the severe pain in his neck and back after a golf-swing on May 12. He was admitted on July 7 because of persistent tenderness, pain in motions and crepitus, which were revealed on the spinous process of the seventh cervical vertebra by examination. Radiographs showed two round shadows at the level of the seventh cervical vertebra in anteroposterior projection and the fracture in the middle of the spinous process in lateral projection. A fragment of the fracture dislocated downwards. On July 8 the process was removed and disclosed the fibrous union and the slight formation of the new bone histologically, Eleven months after operation the patient has no complaint except slight dullness of the shoulder, and has begun to play the golf again from the post-operative second month.<br>The fracture of the spinous process has been known as the shovellers' fracture, while only two cases were reported as the lesion by the golfswing which will occur more often hereafter.

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