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Article
April 3, 1886

THE MECHANISM OF INDIRECT FRACTURES OF THE SKULL.

Author Affiliations

SURGEON TO THE OUTPATIENT DEPARTMENT OF THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA AND OF THE PRESBYTERIAN HOSPITAL IN PHILADELPHIA.

JAMA. 1886;VI(14):368-372. doi:10.1001/jama.1886.04250040004002

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Abstract

ANATOMICAL PECULIARITIES OF THE SKULL.  Having now briefly considered the elastic properties of the skull, let us next study its anatomical peculiarities, which, as I have already pointed out, may be expected to modify the results which might be expected if the shape of the skull were regular and its thickness uniform. These pecularities must be given due consideration if we would avoid the error of applying too rigorously the bursting theory; at the same time they must not be over-estimated. This was the error of Félizet, who was right in attaching great importance to the architectonic conditions of the skull, but who was mistaken in supposing that his buttresses and centre of resistance would stand firm against all or most fractures. So Aran, before him, was right in supposing that fractures starting in one fossa of the skull would often be limited to that fossa; but he erred in

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