J Trauma
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Chylothorax following blunt chest trauma is rare; we found only 19 cases reported. We describe an unusual patient with chylothorax from closed chest injury. ⋯ Thoracostomy in the definitive therapeutic modality. Nonoperative or, when necessary, operative treatment of chylothorax after blunt trauma can lead to a successful outcome in 90% of cases.
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A case with a "side-swipe" injury in the left elbow while projected out an automobile window, resulting in avulsion of the distal one third of the humerus and proximal two thirds of the olecranon, is reported. The bony defect was reconstructed by an endoprosthesis to preserve elbow function.
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A new method of reduction of dislocated shoulders used by the Eskimos in Greenland is described. The method was tried as first attempt of reduction on 23 consecutive acute dislocations in the emergency room of a central Copenhagen hospital. ⋯ Three dislocations required general anesthesia and two attempts were unsuccessful, but dislocations were reduced using other methods. The advantage of using the Eskimo method is: 1) it is simple and can be used by nonmedical personnel; 2) nontraumatic; and 3) needs no facilities.