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November 22, 1976

Lawn Mower Injuries

Author Affiliations

Harper Woods, Mich

JAMA. 1976;236(21):2392. doi:10.1001/jama.1976.03270220014009

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To the Editor.—  I noted the recent report of Ross et al (236:480, 1976) describing mutilating lawn mower injuries in children. The Fracture Service of the Children's Hospital of Michigan recently admitted two children with separate but quite similar injuries of this type. In both cases, the blades of the rotary mower seemed to skip from the groin to the medial aspect of the knee to the foot, with extensive damage at each level. In one case, the medial femoral condyle was sheared off and the patella was shattered. Both patients had partial foot amputations and extensive skin damage.Review of the skeletal injuries sustained by patients in Wilmington suggests that this pattern of injury may have been seen in several of their patients as well. The exact mechanism of the event is difficult for most patients to recall, but this pattern of injury suggests that investigation by physicians and