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May 19, 1917


Author Affiliations

Assistant Surgeon, New York Hospital for Ruptured and Crippled, Outpatient Department; Chief of Clinic, Orthopedic Department, Lebanon Hospital Dispensary NEW YORK

JAMA. 1917;LXVIII(20):1473-1474. doi:10.1001/jama.1917.04270050175008

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This case serves to emphasize the danger of improper or indifferent application of plaster-of-Paris bandages, and the value of early treatment of the deformity following prolonged ischemia.

REPORT OF CASE  W. H., boy, aged 8 years, fell, Aug. 14, 1915, and injured his left forearm. A physician found a fracture of the forearm, and applied a plaster-of-Paris dressing extending from the elbow to the fingers and completely including them. According to the mother's story, the only protection to the limb under the plaster was a single layer of ordinary gauze. No cotton or other similar material was placed between the fingers, which were entirely hidden from observation. The plaster was left on three weeks. During this time the boy did not complain of any pain, but he could not move his fingers, which were evidently cramped together. At the end of three weeks the physician for some unexplained reason found

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