History: Complaint-pain, immobility right arm and shoulder, semicomatose condition, multiple bleeding points. Child was struck by a car and brought into hospital by driver who stated that child was unconscious when found. A short time later child became excitable but never rational. Patient has not voided nor defecated since in the hospital. Usual childhood diseases. History of fracture of right arm 3 years of age. Mother and father living and well. Physical examination: The patient is a young white boy overdeveloped for his age. He is thrashing wildly about on the table. When questioned he responds only with a grunt. He seems to have difficulty with respiration, stopping short before the end of inspiration. No cyanosis is evident. Head: Multiple abrasions. Ears: Right canal fill with blood which seems to be coming from the inner ear. Pupils equal and regular, react to light and accommodation. movements normal. Teeth: Intact, no pharyngeal bleeding. Neck: Good motion, no deformities. Thorax: Pain in right upper thorax, lateral; no deformity felt. Extraocular Lungs: Limitation of inspiratory excursion and bronchial rales, no parenchymal rales; no change in breath sounds; heart not enlarged; regular sinus rhythm; no murmurs; sounds of good quality. Abdomen: Soft, symmetrical; no tenderness or spasm; liver and spleen not enlarged. Genitalia: Normal for age and sex. Extremities: Multiple abrasions; right scapula, pain, deformity of lateral border; right scapula, deformity, pain, immobility, lower half seems involved. Neurosis: Unsatisfactory, patient uncooperative. Date: July 14, 1943. OPERATION Surgeon: Dr. J. M. MacKellar, Dr. Caroline Burpeau. Preoperative and postoperative diagnosis: Fracture of right humerus. Anesthesia: Gas-oxygen-ether. Preparation: Merthiolate. Pathology: Separation of the distal and proximal fragment of the right humerus. Procedure: About a 4-inch anterolateral incision was made through the skin, separating the muscles down to the bone. A periosteal elevator and bone clamp were used to unite the distal and proximal fragments. A four-screw Lane plate inserted, and 4 grams of sulfanilamide powder sprinkled into the wound. The incision was closed with black silk sutures. An anteroposterior W splint applied. Condition: Good. Medication: Four grams sulfanilamide powder. PATHOLOGICAL REPORT JULY 14, 1943 Source of specimen: Humerus. Gross: Specimen consists of three pieces of bone 1 to 2 centimeters long. Dr. FRANCIS J. FADDEN, Pathologist. ROENTGENOLOGY RECORD June 19, 1943, right arm: There is an irregular fracture of the lower third of the shaft of the humerus about 7 centimeters up from the elbow joint, the fracture surfaces are not in apposition, poor position with angulation. Also, an extensive fracture of the lower portion of the scapula just seen on the roentgenogram edge, poor position. The July 2, 1943, right arm: Fracture of the lower end of the humerus as previously described. The fracture surfaces are not in apposition, the lower fragment is displaced laterally and forward and is overriding nearly 1 centimeter. fragments are in poor position. The stripped up periosteum shows some callus of calcium density forming on the under surface of the periosteum. July 9, 1943, skull: There is a linear fracture of the parietal bone, left side, the fracture line is perhaps 2 to 3 centimeters in length and extends down to the parietal-temporal suture but apparently does not cross the suture line into the temporal bone. The line of fracture is seen on the roentgenogram of the right side of the skull, and does not show on the roentgenogram made for the left side; however, the appearance is that of a linear fracture with minimal separation and no depression of fragments. Right arm: In molded plaster, the forearm about right angles with the arm. The position of the comminuted fracture fragments of the humerus is similar to the previous examination, the fracture surfaces are not in apposition, the lower fragment is displaced laterally and forward nearly 2 centimeters. The stripped periosteum shows some callus forming on the periosteum. July 15, 1943, right humerus: Postoperative and in molded plaster: The fracture fragments of the humerus are held in apposition and alinement by a metal plate about 6.5 centimeters in length, using four screws. The fracture surfaces are separated several millimeters. The elbow joint relations appear normal in both views. August 5, 1943, right humerus: The position of the comminuted fracture fragments of the humerus held in apposition and alinement by a metal plate with four screws is similar to the previous examination of July 15, 1943. of calcium density has formed at site of fracture. PHYSIOTHERAPY RECORD August 13, 1943: Infrared, massage, active motion to right arm. August 16: Infrared, massage, active and passive motion right arm. August 18: Infrared, massage, passive motion right arm. August 19: Infrared, massage, active motion. Some callus August 21: Infrared, massage, active motion right arm. Only 50-percent Follow-up clinic, August 23, 1943: Good flexion of right arm. extension. To continue physiotherapy treatments. Return in 3 weeks. SEPTEMBER 7, 1943. I do hereby certify that the foregoing is a true copy of certain parts of the case record No. U-40283 bearing the name Louis Ciniglio, as appears in the records of the Englewood Hospital Association. [SEAL] LOUISE B. BARRY, Record Librarian. PALISADE PARK POLICE BLOTTER New York City, ARMY AIR FORCE MATERIAL COMMAND, David James W. Bell, of full age, being duly sworn according to law, upon his oath deposes and says: 1. That this is a true copy of the police blotter on record in the police department, located in Palisade Park, N. J. Record: 2:43 p. m. Mrs. Helen Fordyce of 117 Abbott Avenue phoned and reported an automobile accident on Route No. 6 and East Edsall Avenue. Detailed Patrolman Lewandowski to investigate and sent the ambulance to the scene. Patrolman Lewandowski reported that on his arrival the child was taken to a hospital by Mr. Earl M. G. Carroll and Lt. Emanuel C. Burdick. A United States Army Ford sedan being operated by Earl M. G. Carroll, Avenue 9, Monroe Township. Outcalb section, Helmetta, N. J., north on State Highway No. 6 and East Edsall Avenue struck Louis Cinglio age 11 years of 227 East Ruby Avenue who was crossing the highway going from east to west. Second Lt. Emanuel C. Burdick, 67 Broad Street, New York City, care of Army Air Forces Material Command, a passenger in the sedan reported that the boy was in the Englewood Hospital. The attending doctors, McKeller and Giannasco. Mr. Carroll's driving license 1037694 New Jersey, and registration of the sedan is 115702 United States Army. Photos taken by Chief David Bell. Chief DAVID J. W. BELL. Subscribed and sworn to before me this 26th of August 1943. [SEAL] My commission expires August 11, 1948. AMY A. Muller, Notary Public of New Jersey. STATE OF NEW JERSEY, AFFIDAVIT OF DAVID J. W. BELL County of Bergen, 8: David J. W. Bell, of full age, being dulv sworn according to law, upon his oath deposes and says: I am the chief of police in the borough of Palisades Park, Bergen County, N. J., and on the 19th day of June at about 2:43 p. m. I was called to the scene of an accident at State Highway No. 6 and East Edsall Avenue. When I arrived at the scene the United States Army car had been moved and the child that was struck and injured had been removed to Englewood Hospital. I discussed the location of the Army car with my officer and proceeded to measure the skid marks and tire marks which I found on the highway. These were 133 feet in length, which included the side slide marks made by this Army car. Pictures were taken, attached hereto, at 3:04 p. m. by me and represent the true condition of the highway and car on that day. I had a long conversation with the driver of the Army car and he stated that he was proceeding north on Route No. 6, and saw a child run out into the street, as he thought, after a ball. This later turned out to be an orange. When the child ran across in front of his car he tried to avoid striking him, and then the boy came back again, and again he tried to avoid striking him but this time he was struck by the center of the radiator and the boy was knocked to the street. This accident took place about 21 feet from the east curb and the longest skid mark was 126 feet. The damage to the automobile was the front, radiator grill, left front fender, and dent on top of radiator and hood on the left side. DAVID J. W. BELL. Subscribed and sworn to before me this 26th of August 1943. [SEAL] My commission expires August 11, 1948. AMY A. MULLER, Notary Public of New Jersey. AFFIDAVIT OF CARMELA CINIGILIO STATE OF NEW JERSEY, County of Bergen, ss: Carmela Cinigilio, of full age, being duly sworn according to law, upon her oath deposes and says: I am 44 years of age, married, and I reside with my husband, Louis and five children at 227 East Ruby Avenue, Palisade Park, N. J. My children are: Rose, age 19: Mary, age 17; Alvira, age 14; Louis, age 11; Dorothy, age 9. I am the mother of Louis Cinigilio, age 11, who was injured in an automobile accident. caused by an Army car on June 19, 1943 at 2:45 p. m. My son was born November 1, 1931, in Palisade Park, N. J., and he was a pupil in the fifth grade of the Palisade Park School. My son was promoted to the fifth grade the latter part of June and his teacher was Miss Smith. I am employed by Fortsman in Garfield and on the day of this accident I left my home at 2:20 p. m. and I got home about quarter to I in the morning. This accident occurred on Saturday. Sunday I went to the hospital to see my son. My son was brought home by automobile on August 18 and since that time he has returned to the Englewood Hospital in Englewood for a check-up every other day. He complains of pains all over his head, and when I have him lay down for a rest the pains in his head go away. At the hospital he would fall, and he gets very dizzy. At that time I place him on his bed to rest. My son has a very bad scar on his right arm. I have a large hospital bill, $414.10, and this bill is not paid. We do not have the money to pay this bill. CARMELA CINIGLIO. Sworn to and subscribed to before me this 26th day of August 1943. [SEAL] My commission expires August 11, 1948. AMY A. MULLER, Notary Public of New Jersey. AFFIDAVIT OF VERA ROMAGNOLI STATE OF NEW JERSEY, County of Bergen, ss: Vera Romagnoli, of full age, being duly sworn according to law, upon her oath deposes and says: On June 19, 1943, at about 2:45 p. m., I was in the back yard of my home at 56 Abbott Avenue, Palisade Park, N. J. Our home is located facing Route 6 and as I stood in my back yard my attention was called to an accident by brakes being applied. The noise of these brakes was very loud. I went to the street immediately and as I reached the highway, I saw a man picking a little boy up and he was being placed in the back of the Army car. The little boy was picked up out in the second north-bound lane of the highway, and I noticed my long skid marks leading up to the back of this Army car. These skid marks began at the south end of the driveway leading into our property and extended to the second driveway, some 120 feet. The damage to the Army car was the direct center part of the radiator grill. After the accident I saw an orange lying on the east curb near the north end of the driveway. The point of this accident is a straightaway and the view is clear for many hundred feet and on the day of this accident there were no cars parked at the east curb Mrs. VERA ROMAGNOLI. AMY A. MULLER, Notary Public of New Jersey. Subscribed and sworn to before me this 26th day of August 1943. [SEAL] My commission expires August 11, 1948. AFFIDAVIT OF JAMES M. MACKELLAR STATE OF NEW JERSEY County of Bergen, ss: James M. MacKellar, being of full age, upon his oath deposes and says that I am a licensed and practicing physician in the State of New Jersey with offices at Tenafly, N. J. I have been a licensed physician for the past 37 years. On June 19, 1943, I was called to examine Louis Ciniglio at Englewood Hospital, in the city of Englewood, county of Bergen, State of New Jersey, and at that time, I found him to be suffering from the following injury: Compound comminuted fracture of right humerus, shaft, lower third; fracture of base of skull; lacerations of brain; contusions and abrasions frontal area of head and of the left elbow; fracture of the right scapula. History of unconsciousness when brought to the hospital. The orders were a complete blood count, urinalysis, plasma protein estimation; spinal taps; 50 percent intravenous glucose solution, phenobarbital, restricted fluids, sulfathiazole, soda bicarbonate, soft diet, tetanus and gas bacillus antitoxin, blood pressure and pulse reading every hour. The operation was on July 14, 1943, and prior to the operation, traction was applied on June 7. Operation consisted of the application of a bone plate to the fractured humerus. Three pieces of bone were removed at operation. This child was discharged from the hospital on August 8, 1943, apparently in good condition, considering his injuries. He returned to clinic from date of discharge until September 13, 1943, and on October 16, 1943, returned to hospital again for further X-ray. The X-ray shows fracture as previously described, held in position by a metal plate and four screws. There is a large mass of callous around the site of fracture. Fracture line is distinctly visible and there is a line of translucency across the newly formed callous. My final opinion in this case is that this bone plate should be removed which will necessitate further hospitalization of a week or 10 days, together with necessary anesthesia, incidental medication, nursing, and hospital care. Also, a follow-up X-ray. The approximate cost of this operation will be $150 for my services, $25 for the anesthetic, and approximately $60 hospital bill. While this boy has made an apparently satisfactory recovery from his injuries, consistent with their severity, the prognosis, nevertheless, must be guarded inasmuch as there was a fracture of the skull and more or less severe brain injury. My bill for services to date is $370. JAMES M. MACKELLAR, M. D. Sworn and subscribed to, before me this 26th day of January 1944. [SEAL] My commission expires August 11, 1948. AMY A. MULLER. Notary Public of New Jersey. H. Repts., 79-1, vol. 1—31 O |