Cervical-Thoracic Epidural Hematoma Associated with a T1 Clay-Shoveler Fracture in a Pediatric Patient

• Published in: JBJS Journal of Orthopaedics for Physician Assistants
• Main Authors: Kavin, Michelle, Rhoden, Imana, Mehallo, Christopher
• Format: Article in Journal/Newspaper
• Language: English
• Published: Ovid Technologies (Wolters Kluwer Health) 2021
• Subjects: Colloid and Surface Chemistry; Physical and Theoretical Chemistry; Shoveler
• Online Access: http://dx.doi.org/10.2106/jbjs.jopa.20.00043; https://journals.lww.com/10.2106/JBJS.JOPA.20.00043

This case study presents a 14-year-old boy with a 5-day history of neck pain, temporary upper extremity paresthesia, and worsening back pain after doing sled drills in football. Diagnostic imaging revealed a T1 clay-shoveler fracture and associated cervical-thoracic epidural hematoma. To the best of our knowledge, there are no previous reports of a clay-shoveler fracture that involve a spinal epidural hematoma which demonstrates an unusual version of the condition that requires surgical consultation.