Yusuf Baasil Syed, Segaren Neil, Segaren Nicholas, Di Mascio Livio
Barts and The London School of Medicine and Dentistry, London E1 1BB, UK.
The Royal London Hospital, Barts Health NHS Trust & Queen Mary University of London, London E1 2AD, UK.
JRSM Open. 2020 May 6;11(5):2054270420918493. doi: 10.1177/2054270420918493. eCollection 2020 May.
Stress fracture of the clavicle is a rare injury usually occurring in high-level athletes. It is typically a result of repetitive sporting activity or unusual strain. We present the first case of an occupational clavicle stress fracture in a young female barista. The patient initially presented with insidious onset clavicular pain. There was no history of trauma, and an undisplaced fracture was present on the plain radiograph but overlooked by the emergency physicians. Two weeks later, the patient presented again with worsening symptoms, and a displaced fracture of the clavicle was diagnosed on plain radiograph. A thorough occupational history revealed the cause of her pain, which was the mechanical activity of coffee tamping and the fracture went on to unite with no further complications. No other cause was found on investigations including magnetic resonance imaging. The fracture healed with cessation of coffee tamping. This case highlights a previously unrecognised occupational hazard of coffee tamping as a potential cause of stress fracture of clavicle.
锁骨应力性骨折是一种罕见的损伤，通常发生在高水平运动员身上。它通常是重复性体育活动或异常劳损的结果。我们报告了首例年轻女性咖啡师职业性锁骨应力性骨折病例。患者最初表现为隐匿性发作的锁骨疼痛。无外伤史，X线平片显示有一处无移位骨折，但被急诊医生忽视。两周后，患者因症状加重再次就诊，X线平片诊断为锁骨移位骨折。详细的职业史揭示了她疼痛的原因，即咖啡压粉的机械活动，骨折随后愈合，未出现进一步并发症。包括磁共振成像在内的检查未发现其他病因。停止咖啡压粉后骨折愈合。该病例凸显了咖啡压粉这一此前未被认识到的职业危害，它可能是锁骨应力性骨折的一个潜在原因。
