Editorial: Countway--a new Harvard eponym.
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Abraham Colles had the good fortune to describe the most common fracture about the wrist but, because its description was published in a provincial journal, it received little attention and was almost never referred to in his lifetime. The same can be said of Claude Pouteau who described the same fracture in another lesser-known medical journal. Robert Smith described the fracture that bears his name in 1847 although it had already been described by Jean-Gaspar-Blaise Goyrand some years before. Galeazzi's fracture had been described nearly 90 years earlier by Sir Astley Cooper and is also known as Dupuytren's and Piedmont fracture. To add to the conflicting nomenclature it is sometimes not clear whether a Smith's II fracture is a Barton's fracture or a reversed Barton's fracture. In the presence of all of this confusion it is not surprising that a Swiss group, Arbeitsgemeinschaft für Osteosynthesefragen, has classified wrist fractures into groups of As, Bs and Cs.
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Two cases of painful ophthalmoplegia are described which were initially thought to be examples of the Tolosa-Hunt syndrome. Both were partially responsive to steroid treatment. Subsequent investigations showed that in one case the condition was due to an aneurysm and in the other to a malignant lymphoma.
George Huntington first encountered patients with the disease subsequently given his name at the age of 8 while accompanying his father and grandfather on their medical rounds. In 1872, in his twenty-first year, he described this disease so accurately and succinctly that the disease was later named after him. We have explored, through contact with previously unpublished family records and documents, the personal factors which helped George Huntington to make this observation and also investigated why this remains his sole contribution to medical research. We show by documenting his precise examinations of nature that he had profound powers of observation. Furthermore his decision not to pursue medical research was based on a commitment to patient care and a belief that he could make a greater contribution through the practice of primary care medicine rather than the pursuit of research.
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