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June 5, 1954


Author Affiliations

210 N. E. Oregon St., Portland 14, Ore.

JAMA. 1954;155(6):597. doi:10.1001/jama.1954.03690240063029

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To the Editor:  —Reference is made to articles in The Journal of March 13, 1954, relating to thoracic injuries and more particularly to that of D. L. Paulson entitled "Injuries of the Chest Wall." The commonest injury to the chest was not mentioned in this article or in similar articles in recent years. I have seen no reference to the painful syndrome that is best put in a category called contusion of the chest wall. Although not a threat to life, such injuries are very common, cause much pain and fear, and are usually inadequately treated. As seen in industrial practice the patient has fallen against a sharp or blunt object, struck a steering wheel, caught a heavy box against the chest, etc. Similar injuries occur in the home and, of course, very often in front seat injuries in accidents in the personal motor car. The accidental incident may cause

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