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James A Cahill Jr., M.D.
JAMA. 1924;83(13):1000. doi:10.1001/jama.1924.26610130003012c.
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D. S. T., a colored man, aged 27, married, employed as a laundry helper at the Bureau of Engraving and Printing, while in pursuit of his usual occupation in the laundry, was sewing rags, which were heavy and required a large caliber needle, about 3 inches long and one-fourth inch wide. While sewing, he jammed his left wrist just above the joint and on the radial side of the flexor surface with this needle. It bled profusely and he was sent to the emergency hospital, where he was treated, and antitetanic serum was given. He was discharged from the hospital, but noticed that his arm and wrist began to swell and that a small lump was forming just above the wrist joint. He first noticed this small swelling nine days after the injury. It began to grow larger and caused him some pain and tingling in the fingers. In a


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