Fracture of the anterior superior spine because of muscular violence is not frequent. With reports in the literature by Carp, Conwell, Christopher and several foreign writers, the number of cases had been brought up to fifty-eight.
Searching the literature since Conwell and Alldredge's report,1 I found no other reference in the literature, so I am reporting the fifty-ninth case.
W. H., a healthy Negro youth, aged 16, who was carried into the Allegheny General Hospital, May 25, 1936, complained of pain in the right side and inability to walk. He stated that while running down a hill he had experienced a sudden very sharp pain in the right side, which caused him to drop to the ground.
The patient was muscular and was in evident pain. The right thigh was held in the everted position. There was tenderness and crepitus over the anterior portion of the