Injury
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The compression obtained with external anchorage in the anterior and posterior part of the pelvic girdle has been studied with a measuring device in the sacroiliac joint and and the symphysis of a specimen pelvis. Two models of external frames were tested, in both of which anchorage to the pelvic bone was brought about with 3 pins inserted in the iliac crests. ⋯ This mounting afforded good stability of the detached hemipelvis. The trapezoid compression frame is recommended as an alternative to conventional methods of treating unstable fractures and dislocations of the pelvic girdle.
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A case of intercostal pulmonary hernia following blunt trauma to the chest wall is reported. This type of hernia is a benign disorder. Although most lung herniae need operative treatment, it is reasonable to wait for spontaneous regression.
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Two hundred and forty-four motor car occupants involved in road traffic accidents, who sustained injuries sufficiently severe to require admission to hospital, have been investigated in order to assess the value of seat belts. The results indicated that the use of seat belts significantly reduced the mortality and the number of severe, multiple and facial injuries.
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Traumatic cyst of the lung due to closed chest injury is very uncommon. The discrepancy between the minor clinical symptoms and signs and the major radiological signs may be confusing. A typical case is reported and a short review given of the pathogenesis, diagnosis and treatment.
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A case of osteochondral fracture of the trochlea occurring as part of a fracture-dislocation of the elbow is reported. The damage to the medial articular surfaces was not apparent until the joint was explored. The osteochondral fragment was replaced and fixed with Smillie's pins and the result of treatment was good.