10/06/ / 04/ / 09/1993

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M.BCh.B. (Cape Town) FCS (SA) Orth ORTHOPAEDIC SURGEON / ORTOPEDIESE CHIRURG PR No 2803267 TELEPHONE/TELEFOON 884-5105/6 RESIDENCE/WONING 702-2031 ACCOUNT QUERIES 883-3500 FAX; 883-3350 P.O.BOX 651194 BENMORE 2010 204 MORNINGSIDE CLINIC CNR.

1 M.BCh.B. (Cape Town) FCS (SA) Orth ORTHOPAEDIC SURGEON / ORTOPEDIESE CHIRURG PR No TELEPHONE/TELEFOON /6 RESIDENCE/WONING ACCOUNT QUERIES FAX; P.O.BOX BENMORE MORNINGSIDE CLINIC CNR. HILL & RIVONIA RD MORNINGSIDE SANDTON /10/1993. NICHOLLS CAMBANIS & SUDAN0 P 0 BOX 8694 JOHANNESBURG MEDICO-LEGAL REPORT. NAME DATE OF BIRTH CONSTANCE NKONYANE (MOFOKENG) 10/06/1962 OCCUPATION DATE OF ASSAULT DATE OF EXAMINATION 08/ 04/ / 09/1993 HISTORY At about 9 p.m. on 08/04/1992 Constance Nkonyane was hit by several pellets and a bullet. As a result she suffered injuries to her left buttock, her left hand and her right thigh. She was bleeding profusely, particularly from the thigh wound. 2/...She was Emergency: Code 440 Channel 11

2 She was taken by neighbour's to the Willem Kruywagen Hospital in Germiston where X-rays were taken of her right leg, her left hand and buttock. Following this the bullet in her right thigh was removed under local anaesthetic in theatre. She remained in hospital for three days where dressings were done and she was treated with antibiotics. Following discharge her dressings were changed daily or every second day and she attended the Natalspruit Hospital approximately at two weekly intervals. The thigh injury healed after approximately six weeks the hand injury however, took longer to heal. At the time of being shot she was pregnant. PRESENT COMPLAINTS 1) Her left hand is very painful while doing washing. 2) Her right knee is painful and becomes swollen in cold weather. She feels that her right knee pain is getting worse. 3/...EMPLOYMENT

3. EMPLOYMENT Prior to her being shot she was a housewife and did her own house work. Following the shooting she is unable to do heavy washing because of pain in her left hand.

3 3. EMPLOYMENT Prior to her being shot she was a housewife and did her own house work. Following the shooting she is unable to do heavy washing because of pain in her left hand. Her left knee is painful during cold weather. SOCIAL AMENETIES She experiences pain in her right knee while walking in cold weather. HEALTH PRIOR TO THE SHOOTING Her health was good. She was on no medications, and specifically had no problems with her left hand or right leg. EXAMINATION FINDINGS Mrs Constance Nkonyane appeared generelly well. There was a 6 mm hyper-pigmented palpable scar in the web space between the first and second finger of the left hand and adjacent to the metacarpophalangeal joint of the dorsum of the thumb. 4/...There was

4. There was a small palpable tender scar over the palmar aspect of the hand in the web space between the first and second finger of the left hand. The scar was approximately 5 mm in diameter.

4 4. There was a small palpable tender scar over the palmar aspect of the hand in the web space between the first and second finger of the left hand. The scar was approximately 5 mm in diameter. There was decreased sensation over the medial side of the dorsum of the left thumb. There was a hyper-pigmented scar approximately 2 cm by 1.2 cm over the postero-medial aspect of of the mid right thigh. There was a small hyper-pigmented scar over the left buttock. In the scar was a very small palpable nodule. SPECIAL INVESTIGATIONS X-rays of Mrs Nkonyane's pelvis were taken on 29/09/1993. (radiologists report enclosed). DIAGNOSIS As a result of her being shot Mrs Nkonyane suffered a soft tissue injury to her left hand. This took a long time to heal and has left permanent scars in her hand. The palmer scar is tender to the touch. She also has decreased sensation over the dorsum of the medial side of her left thumb. She has a scar over her right thigh and a scar over her left buttock. There is a large foreign body lodged in her left buttock. 5/...PROGNOSIS

5. PROGNOSIS AND FUTURE MEDICAL COSTS More than 17 months after being shot Mrs Nkonyane has a tender scar over the volar aspect of her hand in the web between the first and second fingers.

5 5. PROGNOSIS AND FUTURE MEDICAL COSTS More than 17 months after being shot Mrs Nkonyane has a tender scar over the volar aspect of her hand in the web between the first and second fingers. She has a large radio opaque foreign body in her left buttock. It would be reasonable to make provision for removal of the foreign body in her left buttock and at the same time revise the scar on her hand. This would entail a period of hospitalisation of approximately two days, a period of incapacity of approximately two weeks and would cost in the region of R4 000,00 at todays prices. CONCLUSION Mrs Constance Nkonyane suffered a shocking experience when she was shot in her left hand, left buttock and right thigh. She suffered severe pain and bled profusely and required admission to hospital for a three day period. The wound on her left hand took more than six weeks to heal. She retains residual disability in that there is decreased sensation over part of her left thumb and continues to experience pain in her left hand while doing heavy house work and pain in her leg during cold weather. 6/...The scars

6 The scars will remain as permantly disfiguring marks. I find no reason to suspect that her life expectancy has been altered by her being shot. FCS (S A) Orth.

RADIOLOGISTS RADIOLOE Dr. HYMIE LUNTZ Dr. ISSY JAFFE Dr. RALPH POSNER Dr. PAUL SPIRO Dr. ERROL PAPERT Assisted By: Dr. IAN SCHMAMAN Dr. ARNO PRETORIUS Dr. HAROLD BLOCH Dr. RODNEY MILLER Dr.

7 RADIOLOGISTS RADIOLOE Dr. HYMIE LUNTZ Dr. ISSY JAFFE Dr. RALPH POSNER Dr. PAUL SPIRO Dr. ERROL PAPERT Assisted By: Dr. IAN SCHMAMAN Dr. ARNO PRETORIUS Dr. HAROLD BLOCH Dr. RODNEY MILLER Dr. BRIAN PAPERT Dr. VICTOR GOUWS 301 Lister Building / Gebou Jeppe Street / Straat P.O. Box / Posbus 4878 Johannesburg 2000 Tel: Sandton Clinic / Kliniek, Lyme Park Morningside Clinic / Kliniek Kempton Park, Trust Bank Emergency / Noodgevalle Tel: Hill Road off Rivonia Road Tel: Tel: , Autopage Tel: MEDICO LEGAL AS ABOVE Z4S397 31Y DEL Morningside (General) MRS CONSTANCE NKOMYANA-MOFOKENG NICHOLLS.CHAMBANIS h. ASSOCIATES PO BOX 8694 JHB SOOO 29/09/93 DR 6 VERSFELD PELVIS A large irregular shaped metallic shrapnel -fragment as well as several smaller metallic shrapnel -fragments are noted in the soft tissues of the left buttock. The pelvic bones as well as lower lumbar spine region are intact and no traumatic deformity is identified in the left and right hemipelvis as well as in the sacrum. No disruption of the sacral arch. The hip joints are normal in the AF projection. No diastasis of the SI joint or symphysis pubis. CONCLUSIONS Metallic shrapnel fragments are noted lodged in the soft tissue of the left buttock. The underlying bony pelvis is intact and no pelvic bone fractures or other bony abnormalities are visualised. DR BRIAN BP/vj

8 ONDERSOEK/BEHANDELING/VORDERING EXAMINATION/TREATMENT/PROGRESS

9 Collection Number: AK2702 Goldstone Commission of Enquiry into PHOLA PARK Records PUBLISHER: Publisher:-Historical Papers, University of the Witwatersrand Location:-Johannesburg 2012 LEGAL NOTICES: Copyright Notice: All materials on the Historical Papers website are protected by South African copyright law and may not be reproduced, distributed, transmitted, displayed, or otherwise published in any format, without the prior written permission of the copyright owner. Disclaimer and Terms of Use: Provided that you maintain all copyright and other notices contained therein, you may download material (one machine readable copy and one print copy per page) for your personal and/or educational non-commercial use only. People using these records relating to the archives of Historical Papers, The Library, University of the Witwatersrand, Johannesburg, are reminded that such records sometimes contain material which is uncorroborated, inaccurate, distorted or untrue. While these digital records are true facsimiles of the collection records and the information contained herein is obtained from sources believed to be accurate and reliable, Historical Papers, University of the Witwatersrand has not independently verified their content. Consequently, the University is not responsible for any errors or omissions and excludes any and all liability for any errors in or omissions from the information on the website or any related information on third party websites accessible from this website. This document is part of a private collection deposited with Historical Papers at The University of the Witwatersrand by the Church of the Province of South Africa.

M.BCh.B. (Cape Town) FCS (SA) Orth ORTHOPAEDIC SURGEON / ORTOPEDIESE CHIRURG PR No MEDICO-LEGAL REPORT JOSHUA MDAKE 11/ 12/1954 LABOURER

I1KZ70Z Cl M.BCh.B. (Cape Town) FCS (SA) Orth ORTHOPAEDIC SURGEON / ORTOPEDIESE CHIRURG PR No 2803267 TELEPHONE/TELEFOON 884-5105/6 P.O.BOX 651194 RESIDENCE/WONING 702-2031 BENMORE ACCOUNT QUERIES 883-3500