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Article
December 1954

AVULSION OF THE SCALPReport of a Case with Ten-Year Follow-Up

Author Affiliations

CHICAGO
From the Department of Surgery, the Presbyterian Hospital, and the University of Illinois College of Medicine.

AMA Arch Surg. 1954;69(6):835-840. doi:10.1001/archsurg.1954.01270060077011
Abstract

FORTUNATELY, in the annals of medical history there are few recorded cases of complete avulsion of the scalp. Years ago, the Indians were noted for their characteristic treatment of the white man, as well as strange tribesmen. One of the most amazing descriptions of scalp injury was reported by Howard and his associates,2 which concerned a 61-year-old rancher in Montana who received mutilating injuries from a grizzly bear. There was loss of the entire scalp and pericranium. The patient, surprisingly, survived the ordeal. In the past, when there were less strict regulations influencing the rate of industrial accidents, many types of injuries were encountered. Avulsion of the scalp was possibly commoner then than at present. No one physician or surgeon has had the opportunity of treating a large series of these cases; hence, it seems worth while to report the case of a woman factory worker first treated 10 years ago who was

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