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January 29, 1968

Comminuted Fracture of the Proximal Femur in a 16-Year-Old Girl

Author Affiliations

From the Fracture Clinic, Massachusetts General Hospital, Boston.

JAMA. 1968;203(5):350-354. doi:10.1001/jama.1968.03140050034009

Dr. Bierbaum: This was the first Massachusetts General Hospital admission for this 16-year-old high school junior, whose chief complaint was pain in the left hip. Approximately 24 hours prior to admission, the patient was struck by an automobile while crossing the street in front of her home. She sustained injuries to the left forearm and hip, and received initial treatment at the community hospital. This included intravenous fluids, closed reduction, and plaster immobilization of the left forearm and a splint to the left lower extremity.

The following day she was transferred to the Massachusetts General Hospital by ambulance. She presented as a pale, thin, somnolent adolescent who was fully oriented. On examination, the blood pressure was 130/80 mm Hg, the pulse 140 beats per minute, and respirations 24 per minute. The left upper extremity was in a long arm cast and the left leg in a Thomas splint. Circulation and