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Article
July 16, 1927

A RAPID AND SIMPLE METHOD OF DETERMINING NERVE INJURIES IN THE EXTREMITIES

Author Affiliations

Professor of Neurosurgery, New York Polyclinic Medical School and Hospital NEW YORK

JAMA. 1927;89(3):189-191. doi:10.1001/jama.1927.02690030021008

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Abstract

The late discovery of a nerve injury in a traumatized extremity, particularly when following the débridement of a wound, the adjustment of a dislocation, the setting of a fracture or the application of a splint, is a serious event in the experience of the traumatic surgeon, and certainly the burden of responsibility rests on that surgeon who only after some operative intervention on an extremity discovers the presence of a nerve injury that was not mentioned in the preoperative records. As a rule, the average surgeon feels that the examination of an extremity for a nerve injury is a process requiring considerable technical skill and neurologic knowledge, and that such an examination, to be reliable, should be made by a neurologist. While this is true in some respects, it nevertheless does not excuse the surgeon for overlooking and neglecting a nerve injury. It is commonly believed that to examine an

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