The girl recovered.
Additional cases of avulsion of the upper extremity are reported
by Aubinais, Bleynie, Charles, George, James, Jones, Marcano,
Belchier, Braithwaite, and Hendry.
Avulsion of the Lower Extremity.--The symptoms following avulsion
of the upper extremity are seen as well in similar accidents to
the leg and thigh, although the latter are possibly the more
fatal. Horlbeck quotes Benomont's description of a small boy who
had his leg torn off at the knee by a carriage in motion; the
child experienced no pain, and was more concerned about the
punishment he expected to receive at home for disobedience than
about the loss of his leg. Carter speaks of a boy of twelve who
incautiously put the great toe of his left foot against a pinion
wheel of a mill in motion. The toe was fastened and drawn into
the mill, the leg following almost to the thigh. The whole left
leg and thigh, together with the left side of the scrotum, were
torn off; the boy died as a result of his injuries.
Ashurst reported to the Pathological Society of Philadelphia the
case of a child of nine who had its right leg caught in the
spokes of a carriage wheel. The child was picked up unconscious,
with its thigh entirely severed, and the bone broken off about
the middle third; about three inches higher the muscles were torn
from the sheaths and appeared as if cut with a knife.
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