RT Journal A1 WATSON LF T1 BArrel-hoop splint for fracture of the clavicle JF Journal of the American Medical Association JO Journal of the American Medical Association YR 1909 FD February 6 VO LII IS 6 SP 467 OP 467 DO 10.1001/jama.1909.25420320039003e UL http://dx.doi.org/10.1001/jama.1909.25420320039003e AB Fred. W., aged 10, was struck by a street car on June 4, 1908, and sustained a complete oblique fracture of the middle third of the left clavicle. He was admitted to the New York Polyclinic Hospital and treated in the service of Dr. John A. Bodine.A splint was made from a wooden barrel-hoop long enough for the ends to fit snugly into the infraclavicular fossa while the shoulders were drawn upward, backward and outward, by an assistant standing behind the patient. A short piece of the hoop was fastened to the inner surface of each extremity of the splint. (Fig. 1.)The nails were left projecting to prevent the bandage slipping. This extra piece made immobilization firmer and allowed free movement of the chest in breathing. The ends of the splint were then padded with cotton. A cotton pad was put in each axilla to prevent chafing. While