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April 28, 1969

Open Supracondylar Fracture of the Humerus

Author Affiliations

From the Fracture Clinic, Massachusetts General Hospital, Boston.

JAMA. 1969;208(4):682-685. doi:10.1001/jama.1969.03160040090014

Dr. William H. Simon:  This was the first Children's Hospital admission for this 9 1/2-year-old white female. The patient had fallen from a horse, striking the left elbow, approximately one hour before admission. She had been taken to a neighboring hospital where a sterile dressing had been applied to the open wound at the elbow, and the extremity had been splinted with an inflatable splint. She was given tetanus toxoid and a narcotic and was referred to the Children's Hospital.Medical history included no known allergies and no prior surgery. The immunization program was up to date.By physical examination the ears, nose, and throat were normal. The lungs were clear and the heart was in sinus rhythm at 120 beats per minute. The left arm was encased in an air splint in full elbow extension. There was a 4-cm clean, transverse laceration in the antecubital fossa with the proximal