1971 年 20 巻 4 号 p. 437-440
A 31 years old male, who had been playing golf for 6 months, felt severe pain in his neck and back right after his tee shot.
X-ray showed fracture of the 7th cervical spinous process. He was admitted and the fragment was removed surgically.
Four months later, he resumed playing golf, and two weeks after his starting exercise, he felt same pain in his neck after his swing.
X-ray revealed 6th cervical spinous process fracture. The fragment was removed and post-operative course is satisfactory.
Significance of this case are
1. No figure of fatigue fracture at the 6th cervical spinous process was evident.
2. This type of fracture might be misdiagnosed as simple neck and back pain.
3. Patient's particular swing form, pulling his chin to chest, might be one of the causes of the fracture.