You are here

Tranverse Process Fracture 805

 

synonyms: TP fracture

Tranverse Process Fracture ICD-9

  • 805  Fracture of vertebral column without mention of spinal cord injury

Tranverse Process Fracture Etiology / Epidemiology / Natural History

  • Generally caused by direct trauma or avulsions from intense muscular contraction.
  • Associated with football and other collision sports.

Tranverse Process Fracture Anatomy

Tranverse Process Fracture Clinical Evaluation

  • Tenderness over the affected transvere process. May have scoliosis or a relative kyphosisshortness from trying to find a comfortable position.
  • Occasional shortness of breath or painful respirations.

Tranverse Process Fracture Xray / Diagnositc Tests

  • A/P and lateral views of the affected level of the spine indicated.
  • CT scan indicated to rule out associated spinal fractures

Tranverse Process Fracture Classification / Treatment

  • Isolated Transverse process fracture: CT scan indicated to rule out associated injury. If CT confirms isolated injury lateral flexion/extension views are indicated to rule out dynamic instability. If normal mobilize as tolerated. Initial cold therapy followed by a program of tissue massage, moist heat, and stretching starting at 24-48 hours. Consider antispasmodic medications.
  • Transverse process fracture with associated spine injury: treatment is determined per associated injury.

Tranverse Process Fracture Associated Injuries / Differential Diagnosis

  • Intraabdominal injury
  • Spine fracture
  • Nerve root avulsion at the same level

Tranverse Process Fracture Complications

  • Misssed associated abdominal / spine injury.

Tranverse Process Fracture Follow-up Care

  • Symptomatic. No bracing or activity restrictions are required for isolated TP fractures.
  • Consider protection of the area to avoid repeated trauma in athletes. Consider a flak jacket or simple padding in a football players.
  • Return to sport: when patient has normal painfree thoracic motion.

Tranverse Process Fracture Review References

  • °

Disclaimer

The information on this website is intended for orthopaedic surgeons.  It is not intended for the general public. The information on this website may not be complete or accurate.  The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care".  While the information on this site is about health care issues and sports medicine, it is not medical advice. People seeking specific medical advice or assistance should contact a board certified physician.  See Site Terms / Full Disclaimer