Dellestable F, Gaucher A
Rheumatology Department, Nancy-Brabois Teaching Hospital, Vandoeuvre-les-Nancy, France.
Rev Rhum Engl Ed. 1998 Oct;65(10):575-82.
Clay-shoveler's fracture is a fatigue fracture of a lower cervical or upper thoracic spinous process. This occupational injury occurs primarily in workers who shovel heavy loads for long periods of time. It was common and well known at the beginning of the XXth century, but has become relatively rare since the introduction of earth-moving machinery, and is now frequently overlooked. A review of clay-shoveler's fracture is presented. Emphasis is put on the legal aspects that can raise problems for rheumatologists, radiologists, occupational physicians and physicians performing expert evaluations of patients filing compensation claims.
掘土者骨折是下颈椎或上胸椎棘突的疲劳性骨折。这种职业性损伤主要发生在长时间铲运重物的工人身上。它在20世纪初很常见且广为人知，但自土方机械问世以来已变得相对罕见，现在常常被忽视。本文对掘土者骨折进行了综述。重点关注了可能给风湿病学家、放射科医生、职业医生以及对提出赔偿要求的患者进行专家评估的医生带来问题的法律方面。
