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January 23, 1915


Author Affiliations

Visiting Surgeon, Boston City Hospital BOSTON

JAMA. 1915;LXIV(4):318-321. doi:10.1001/jama.1915.02570300032010

It seems a bit late to come forward with a new fracture, but in fact the lesion here in question has never been adequately described in print,1 and has apparently escaped the notice even of those who deal with fractures habitually.2

It is in fact one of the common and typical lesions at the ankle, and its best claim to interest is because it is a lesion that every one must have seen, interesting not from its rarity, but from the very fact that it is common, that it is usually overlooked, and that unless reduced it results in serious disability in many instances.

I have been talking about the lesion for years, until some of my house-officers at the City Hospital, wearied by long insistence, have come to refer to it as "Cotton's fracture."

The characteristic point of the fracture under consideration is backward dislocation with the