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The usual number of Fourth of July accidents may be expected this year, especially in the large cities and among our patriotic boys from ten to sixteen years of age. In former times, the toy cannon used to figure very largely in the etiology of the injuries liable to keep the practitioners busy on the great holiday, but during recent years the giant cracker has forced its way to the front as the champion among dangerous playthings. The injuries inflicted by these crackers very commonly have their situation in the right hand, splitting open the thumb, at or near its base, and causing a compound dislocation of the proximal joint of the first metacarpal bone, tearing the latter away from the trapezium, so that the thumb and its metacarpal are connected with the hand only by the soft parts. Sometimes the explosion affects the ungual phalanx, severing it from the
FOURTH OF JULY SURGERY.. JAMA. 1891;XVI(26):919. doi:10.1001/jama.1891.02410780019004
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