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July 7, 1917


Author Affiliations

Manila, P. I.

JAMA. 1917;LXIX(1):38. doi:10.1001/jama.1917.25910280001013a

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A man, aged 42, while walking in his sleep, Nov. 27, 1913, fell from the upper story of his dwelling, a distance of about 12 feet. It would appear that the fall was partly broken by the hands and that the main force of the impact was received on the left side of the chest and over the left trochanter major. These deductions are made from the external marks of violence, the patient not knowing anything of the circumstances. He did not awaken as a result of the fall, being still asleep when found.

On examination, no fractures were discovered. Palpation of the left leg, thigh and hip was negative. There was no shortening, eversion, inversion or other deformity. The patient, however, was unable to extend the leg on the thigh, and when this was passively done, a slight vibration (not a crepitation) was transmitted to the hand held over

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