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September 21, 1935


JAMA. 1935;105(12):986. doi:10.1001/jama.1935.02760380062024

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[This letter was referred to George Webb of Brooklyn, who writes:]

To the Editor:—  The case of a reversed Colles fracture successfully treated by closed manipulation by Dr. M. J. Stern was in a young boy. A prereduction roentgenogram showing the deformity is given in Dr. Roberts' book. However, there is no postreduction roentgenogram and the success of the reduction is merely gaged by the fact that the lad had "little or no" deformity after the reduction. This is not convincing evidence of a successful reduction, since it is well known that in early youth most deformities following fractures have a tendency to correct themselves. The fact that successful reductions of this type of fracture are made only in isolated cases seems to emphasize our statement that in the majority of cases satisfactory anatomic replacement of the distal fragment can rarely be accomplished other than by open operation.

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