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November 14, 1931


JAMA. 1931;97(20):1430-1436. doi:10.1001/jama.1931.02730200006002

The subject of skull fractures and intracranial injuries is filled with so many ramifications that one cannot cover all its intricacies in a single paper. Many of its problems are still subject to controversy. One can only hope to clarify a few of these controversies and leave with the reader a few high lights in the management of skull fractures which experience has shown to be useful.

I have reviewed practically every article written on skull fractures since 1900. These articles review 20,000 cases of skull fractures, but for statistical study I could use only 8,649 of the reported cases.

This study has developed the lack of uniformity in classifying skull fractures, in classifying the associated cerebral injuries, in the mortality statistics and in working up clinical and roentgenographic observations that justify the diagnosis of skull fracture. Too often the statistics are based on the individual's interpretation of his cases,

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