Emergency medicine journal : EMJ
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Cervical spine fractures associated with diffuse idiopathic hyperostosis (DISH) are less common than those associated with ankylosing spondylitis and can occur after minor trauma in patients asymptomatic of the disease process. This case report describes a hyperextension injury of the neck in a patient unknown to have DISH, which resulted in an angulated C3/C4 fracture. The position of the fracture was improved by placing the neck in flexion with immediate improvement in the patient's neurological deficit.
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To assess the incidence and severity of head injuries to children sustained by a blow from a golf club or ball and to highlight the potential for significant injury. An increase in public awareness of these risks might result in a reduction in morbidity. ⋯ Other authors have reported fatal head injuries, and it would seem that parents are unaware of the risks of serious and permanent head injury, with the potential for death, attributable to blows to the head from golf clubs and balls. The need for early tuition in the safety aspects of the game cannot be underestimated and parent and player education strategies are suggested as the main means of reducing injuries in this popular sport.