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July 21, 1906


Author Affiliations

Surgeon P., C., C. & St. L. Ry.; Surgeon to Presbyterian and Columbia Hospitals: Professor Orthopedic and Clinical Surgery, West. Pennsylvania Medical College. PITTSBURG, PA.

JAMA. 1906;XLVII(3):172-174. doi:10.1001/jama.1906.25210030012002b

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Elbow-joint injuries are troublesome and frequently leave the arm in a most useless condition. Causes for such a condition are fracture into the joint, with displacement of fragments, dislocation forward of the head of the radius, and pathologic ankylosis. In all of these conditions when it is impossible to use the hand while dressing and eating, any operation that will place the hand back into service will be acceptable to unfortunates, and recommended by physicians.

Case 1.  —A young man received the contents of a shotgun in the elbow, the upper part of the radius and ulna being torn off. Figure 1 shows that these bones were thrown above the condyles of the humerus. The operation consisted in squaring all the bones so that their ends could rest against each other. This required the removal of the condyles of the humerus at about the diaphyso-epiphyseal line, and the removal of

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