J.W. Astley Cooper
1915 The Lancet  
183 the right lung; and on the left side (three lobes) pleurisy and early broncho-pneumonia. This case seems to show a remarkable accident. The pointed broken handle of a pitchfork pierced this man's scrotum; it was deflected by the pubic bone into the anterior abdominal wall and so on into the chest wall. He must have doubled himself up when the point was in the abdominal wall, thus causing it to pass anterior to the ribs, through the pectoralis major origin, and finally to stop at and break
more » ... stop at and break the second rib, where it deposited the cloth and hay. At the inquest evidence showed that a fellow workman pulled some 2 feet of handle out of the man's body. The patient then "walked" " three miles home and drove ten miles to the hospital. Presumably the correct treatment would have been to lay open the whole track, but there was no evidence until the formation of the abscesess that the fork handle had made any further injury than that in the scrotum. THIS splint has been devised for the treatment of compound fractures of the upper extremity, and it is especially useful in cases where there is an extensive wound requiring much dressing. It is also extremely useful in cases of simple wounds in which there is no fracture. The splint consists of a horizontal wooden bar supported by an upright at The advantages of the splint are: 1. It is very simple and can easily be made by any carpenter. 2. The patient is made very much more comfortable, as with the arm sling he is able to move his body without interfering with the position of the arm. 3. Extension can be applied very easily. 4. The dressing of the wound is very much simplified and is less painful. This splint is a modification of the " Balkan " splint, which was devised for the treatment of fractures of the lower extremity, and has been used in this hospital with very satisfactory results.
doi:10.1016/s0140-6736(01)63839-x fatcat:4tj7oawq2va3vkfgm5m52qfgj4