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Fracture of the Month—NO 46
April 27, 1964

Fracture of the Acetabulum

JAMA. 1964;188(4):382-385. doi:10.1001/jama.1964.03060300044011

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Dr. W. H. Harris: A 64-year-old man was brought to the emergency ward 15 minutes after he was struck by a car. The patient was not unconscious but he was confused and had partial amnesia for the events immediately before the accident. His past medical history was not remarkable.

His blood pressure was 130/80 mm Hg. There was acute tenderness around the left hip, and both ankles were swollen, tender, and slightly deformed. No pulses were palpable in his feet. There was no evidence of injury to the chest or abdomen. There was no evidence of malfunction of the nervous system except his confusion.

His blood pressure began to fall and dropped to 80/60 mm Hg, but rapid administration of one unit of blood and slow administration of a second unit of blood restored his vital signs to normal. A catheter was introduced into his bladder, and the urine obtained

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