<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-0015</journal-id>
<journal-title><![CDATA[Medicina Legal de Costa Rica]]></journal-title>
<abbrev-journal-title><![CDATA[Med. leg. Costa Rica]]></abbrev-journal-title>
<issn>1409-0015</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Medicina Forense]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-00152020000200014</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fractura de &#8220;clay shoveler&#8221; como consecuencia de un accidente de trabajo en un peón agrícola: reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Clay shoveler&#8217;s fracture as a result of a work injury in a manual laborer: case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villalobos Vargas]]></surname>
<given-names><![CDATA[Katherine]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Madrigal Ramírez]]></surname>
<given-names><![CDATA[Édgar Alonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Costa Rica Departamento de Medicina Legal Poder Judicial]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Poder Judicial Unidad Médico Legal Laboral ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>37</volume>
<numero>2</numero>
<fpage>14</fpage>
<lpage>21</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-00152020000200014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-00152020000200014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-00152020000200014&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La fractura de &#8220;clay shoveler&#8221; es una fractura poco frecuente de la apófisis espinosa de las vértebras cervicales o torácicas superiores, más comúnmente entre C6 y T6 producida de manera aguda o crónica por fuerzas rotacionales ejercidas a nivel cervical en la labor de &#8220;palear&#8221;, aunque también se han reportado casos asociados a la práctica de algunos deportes. Se presenta el caso de un péon agrícola de 43 años de edad que consulta por cervicalgia y sensación de inmovilidad luego de un movimiento brusco durante un levantamiento de tierra con pala, siendo que el ente asegurador no establece relación de causalidad, por lo que demanda a nivel judicial para valoración médico legal, documentándose fractura de &#8220;clay shoveler&#8221; en C7 y T1 según estudios radiológicos. La valoración médico legal del caso, que se sustentó en la documentación médica y estudios radiológicos, permitió determinar que la lesión evidenciada era consecuencia del accidente laboral reportado, estableciéndose la relación causal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Clay shoveler&#8217;s fracture is an infrequent lesion of the spinous process of the cervical or upper thoracic vertebrae, mainly between C6 and T6, produced acutely or chronically because of rotational forces exerted at the cervical level during shoveling, but some cases have been reported as a result of the practice of sports. We present the case of a 43-year old manual laborer who consulted because of cervical pain and range of motion limitation after a sudden move performed during shoveling, diagnosed with a clay shoveler&#8217;s fracture in C7 and T1, treated conservatively. The patient was discharged after finishing treatment, since the insurance company dismissed causality. The medico legal assessment of the case, based on medical documentation, radiological findings and an Orthopedics consult, helped stablish causality since it was determined that the fracture was a result of the accident reported.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Fractura paleador barro]]></kwd>
<kwd lng="es"><![CDATA[fractura apófisis espinosa]]></kwd>
<kwd lng="es"><![CDATA[fractura vertebral]]></kwd>
<kwd lng="es"><![CDATA[columna cervicodorsal]]></kwd>
<kwd lng="es"><![CDATA[causalidad]]></kwd>
<kwd lng="es"><![CDATA[valoración médico legal.]]></kwd>
<kwd lng="en"><![CDATA[Clay-shoveler&#8217;s fracture]]></kwd>
<kwd lng="en"><![CDATA[spinous process fracture]]></kwd>
<kwd lng="en"><![CDATA[spine fracture]]></kwd>
<kwd lng="en"><![CDATA[cervico-thoracic spine]]></kwd>
<kwd lng="en"><![CDATA[causality]]></kwd>
<kwd lng="en"><![CDATA[medico legal assessment.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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