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January 28, 1933


JAMA. 1933;100(4):256. doi:10.1001/jama.1933.02740040024010

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Our purpose in this communication is to invite attention to the increasing frequency of peripheral nerve injuries as the result of automobile accidents. Lacerated wounds caused by flying glass frequently produce scars that contract and impinge on important nerve trunks. The resulting paralysis simulates closely division of the involved nerves. The following case is illustrative of the difficulties of diagnosis in cases of constricting scars and the brilliant results obtained by liberation of the compressed nerve trunk.

History.  —Mrs. J. R., aged 27, admitted to the hospital, May 9, 1932, had suffered a severe laceration of the right forearm in an automobile accident seven months previously. There is no definite information as to whether the disability came on immediately or began at a later date. The wound was immediately repaired and the arm put in a cast. On removal of the cast she first recognized her inability to use her

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