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Article
January 29, 1916

A CONTRIBUTION TO THE SUBJECT OF SKULL FRACTURES: ANALYSIS OF ONE THOUSAND CASES AT THE COOK COUNTY HOSPITAL, AND A REPORT OF SEVENTY-FOUR CASES EXAMINED AT NECROPSY

Author Affiliations

Professor of Surgery, Northwestern University Medical School; Attending Surgeon, Wesley Memorial and Cook County Hospitals CHICAGO

JAMA. 1916;LXVI(5):345-350. doi:10.1001/jama.1916.02580310027008

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Abstract

Medical history, in its earliest records, shows a knowledge of skull fractures, and volumes have been written on the subject, yet our views are constantly changing regarding this condition, and the change is in direct proportion to the additions made to our knowledge through experimentation, research and clinical experience.

Through the courtesy of the coroner's physicians, the late Dr. Warren Hunter and Dr. E. R. LeCount, I have been able to observe and secure notes and drawings from necropsies of seventy-four consecutive cases of skull fracture. My purpose is to analyze carefully these cases seen at necropsy and to consider the clinical histories of 1,000 cases treated at the Cook County Hospital.

Skull fracture is one of the most common injuries, and there are about 100 cases admitted annually into Cook County Hospital. When one realizes that the mortality, as shown by these records, is 53 per cent., it stimulates

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