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June 1992

TraumaThe Motor End Plate of Violence

Author Affiliations

Oakland, Calif

Arch Surg. 1992;127(6):651-652. doi:10.1001/archsurg.1992.01420060017002

The editors of the American Medical Association scientific journals are devoting their June issues to the subject of violence in our society. The impact of violence on societal structures has produced medical, social, psychological, and economic effects which are quite staggering and increasing. The recent riots in Los Angeles resulting in more than 50 deaths triggered by a court decision are evidence of the volatility of violence in our society. Violence is inherently mediagenic. Several distinguished surgeon-traumatologists have been asked to participate in this issue of the Archives because of their interest, knowledge, and leadership in these areas. They have discussed the impact of violence on a discipline which has responded to injuries resulting from civil disorders, autopedestrian accidents, and the everincreasing availability and use of guns.

Although the pathogenesis of violence is multifactorial, trauma is the motor end plate of violence. Civilian trauma in urban areas has made intense,

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