Journal Basic Info

  • Impact Factor: 1.809**
  • H-Index: 6
  • ISSN: 2474-1655
  • DOI: 10.25107/2474-1655
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Allergy & Immunology
  •  Geriatric Medicine
  •  Nutrition and Food Science
  •  Cardiac Surgery
  •  Anatomy
  •  Inflammation
  •  Ophthalmology
  •  Asthma


Citation: Ann Clin Case Rep. 2016;1(1):1076.DOI: 10.25107/2474-1655.1076

Multiple Contiguous Avulsion Fractures of Thoracic Spinous Processes: A Clay Shoveler′s Variant

Ali Bakhsh and Himanshu Sharma

Department of Orthopedics, The Peninsula College of Medicine and Dentistry, UK

*Correspondance to: Ali Bakhsh 

 PDF  Full Text Case Report | Open Access


Avulsion fracture of the spinous process, also known as a clay-shoveler’s fracture, is usually seen at a single level or dual adjacent spinal levels in the lower cervical or cervicothoracic junction. We report a 49-year old lady presented late with multiple contiguous clay-shoveler’s fracture between T4 and T8 on MRI scan with negative initial plain radiography. Thoracic spine x-rays might miss the avulsion fractures. With persistent pain and crepitus in the cervicothoracic spine following sudden forced hyper-flexion & rotational trauma, further imaging in the form of MRI scan with or without CT scan is recommended. Disproportionate pain in the initial post-injury period should raise a high index of suspicion. Prolonged recovery period of 6-9 months should be provided to the patients for preferred conservative treatment.


Spinous process; Fracture; Avulsion

Cite the Article:

Bakhsh A, Sharma H. Multiple Contiguous Avulsion Fractures of Thoracic Spinous Processes: A Clay Shoveler′s Variant. Ann Clin Case Rep. 2016; 1: 1076.

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