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December 16, 1944


Author Affiliations

Chief of Orthopedic Section AAF Regional Station Hospital, Langley Field, Virginia MEDICAL CORPS, ARMY OF THE UNITED STATES

JAMA. 1944;126(16):1029. doi:10.1001/jama.1944.82850510005008c

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An unfortunate complication resulting from a simple office procedure recently occurred in the orthopedic clinic of the AAF Regional Station Hospital, Langley Field, Virginia. The cause of the mishap provides interesting speculation and again indicates the seriousness of even the most casual routine office procedures. For these reasons a summary of the case history is presented.

Lieut. Col. J. B. S. reported to the orthopedic clinic because of intense pain and swelling of his right wrist present for three days following a flexion strain incurred during a volley ball game. Examination of the wrist revealed tenderness and swelling of the sheath of the extensor carpi radialis with crepitation on wrist flexion, increased local heat and intense pain on any motion. A diagnosis of traumatic tenosynovitis was made and plaster immobilization of the hand and forearm in a position of comfort was advised. No preliminary medication, injection or manipulation was performed.

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