This case study presents a 14-year-old boy with a 5-day history of neck pain, temporary upper extremity paresthesia, and worsening back pain after doing sled drills in football. Diagnostic imaging revealed a T1 clay-shoveler fracture and associated cervical-thoracic epidural hematoma. To the best of our knowledge, there are no previous reports of a clay-shoveler fracture that involve a spinal epidural hematoma which demonstrates an unusual version of the condition that requires surgical consultation.