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

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1 I1KZ70Z Cl M.BCh.B. (Cape Town) FCS (SA) Orth ORTHOPAEDIC SURGEON / ORTOPEDIESE CHIRURG PR No TELEPHONE/TELEFOON /6 P.O.BOX RESIDENCE/WONING BENMORE ACCOUNT QUERIES FAX; MORNINGSIDE CLINIC CNR. HILL & RIVONIA RD MORNINGSIDE SANDTON /10/1993. NICH0LLS CAMBANIS & SUDAN0 P 0 BOX 8694 JOHANNESBURG MEDICO-LEGAL REPORT NAME DATE OF BIRTH OCCUPATION DATE OF ASSAULT DATE OF EXAMINATION JOSHUA MDAKE 11/ 12/1954 LABOURER 08/ 04/ / 08/1993 HISTORY At approximately 10 p.m. on 08/04/1992 Joshua Mdake was assaulted with sticks and with the butt of a rifle. First he was assaulted with multiple blows over his back inflicted with sticks and subsequently he was assaulted with the butt of a rifle over his left hand and on his head. Following this assault he became unconscious and remained unconscious for some time. He said that he became aware of his surroundings at approximately 5 a.m. the next day. Emergency: Code 440 Channel 11

2 2. He was apparently taken by car to the Natal- spruit Hospital following the assault. At the Natalspruit Hospital X-rays were taken of his left forearm. A cast was applied to his left forearm and a wound on his forehead was stitched. He remained in hospital for some days and following discharge attended the Natalspruit Hospital once a week for treatment. The original cast on his forearm was replaced after approximately two months and the cast was finally removed approximately three months after the injury. While he had the cast on he experienced severe pain in his right arm, and since removal of the cast he experiences pain in his right arm to the present time. The pain is aggravated by lifting heavy objects. Following his head injury he got headaches approximately twice weekly, these lasted for a few hours and were improved by taking tablets. 3/...PRESENT

3 3. PRESENT COMPLAINTS 1) He experiences pain in his left forearm when lifting heavy objects. 2) He experiences occasional headaches GENERAL MEDICAL HEALTH PRIOR TO THE ASSAULT Prior to the assault he was generally well and had no problems with his left arm. EMPLOYMENT Prior to his assault he worked as a labourer for Spoornet. His work entails lifting heavy objects on a daily basis. He was unable to work for a period of three months following the assault. Since then he has returned to his job but he is unable to lift heavy objects because of pain. SOCIAL AMENETIES He experiences pain in his left arm lifting heavy objects. EXAMINATION FINDINGS Mr Mdake appeared generally well. RELATED TO HIS LEFT FOREARM The range of pronation of his left forearm was reduced when compared to the right by 4/...approximately

4 4. approximately 10 There was a palpable bump over the distal one third of his left ulna. RELATED TO HIS HEAD INJURY There was a 4 cm scar over his left forehead. Approximately 2cm of this scar was visible below his hairline. RELATED TO HIS BACK There was 2 cm by 1.5 cm superficial hyperpigmented scar on the right side of the lower thoracic region approximately 8 cm from the midline. There was a 1.5 cm by 1 cm scar in the mid lumbar region. There was a 3 cm by 1 cm scar over the left lower ribs approximately 14 cm from the midline. This scar was hyper-pigmented. There was an area approximately 12 cm by 16 cm over his back with areas of patchy hyperpigmentation. SPECIAL INVESTIGATIONS X-rays of his left forearm were taken on 25/08/1993. (Radiologists report enclosed). 5/...DIAGNOSIS

5 DIAGNOSIS As a result of his assault on 08/04/1992 Mr Mdake sustained a laceration over his forhead, a head injury with a prolonged period of loss of consciousness with subsequent headaches which have continued to the present time. He also sustained a fracture to his left forearm which has healed but which has left him with a reduced range of pronation and pain on lifting heavy objects- The pain continues to the present time. He has multiple superficial scars over his back. PROGNOSIS AND FUTURE MEDICAL COSTS The symptoms eminating from his left forearm are probably due to the fact that the fracture has united in a slightly mal-rotated position. This has resulted in the weakness the patient feels in his left wrist and the pain and discomfort he feels on lifting heavy objects. The head injury he sustained resulted in a prolonged period of loss of consciousness and he continues to have headaches to the present time. He has a visible scar on his forehead and has multiple scars on his back which will remain as permanent disfigurements. 6/...CONCLUSION

6 CONCLUSION As a result of his assault on 08/04/1992 Joshua Mdake sustained a prolonged period of loss of consciousness, a fracture of his left ulna and multiple scars. The assault prevented him from working for a three month period and he still has difficulty in lifting heavy objects because of symptoms in his left forearm and wrist. These symptoms impinge on his working ability and on his social ameneties. I find no reason to suspect that his life PYnpf>fanrv has hppn altered by the assault. FCS (S A) ORTH.

7 Dr.Hymie luntz Dr. PAUL SPIRO Dr. IAN SCHMAMAN Dr. RODNEY MILLER RADIOLOGISTS RADIOLOE Dr. ISSY JAFFE Dr. ERROL PAPERT Dr. ARNO PRETORIUS Dr. BRIAN PAPERT Dr. RALPH POSNER Assisted By: Dr. HAROLD BLOCH Dr. VICTOR GOUWS 301 Lister Building / Gebou Sandton Clinic / Kliniek, Lyme Park Tel: Jeppe Street / Straat P.O. Box / Posbus 4878 Johannesburg 2000 Tel: Morningside Clinic / Kliniek Kempton Park, Trust Bank Emergency / Noodgevalle Hill Road off Rivonia Road Tel: Tel: , Autopage Tel: MEDICO LEGAL DGI 08/04/92 Z Y DEL Morningside (General) MR JOSHUA MADAKE NICHOLLS CAMBANIS SUDAMO P 0 BOX 8694 JHB /OS/93 DR G VERSFELD LEFT FOREARM A previous -fracture deformity of the distal third region of the ulnar shaft is identified. The fracture has united with sound circumferential bone union with residual deformity of contour. No significant displacement or angular deformity of fracture fragments. The bony radius as well as wrist and elbow regions are intact and no further fracture deformities are identified. No evidence of active osteitis or bony cross union between the radius and ulna at the fracture level site. No diastasis of the proximal and distal radio-ulnar joints of the left forearm. No periosteal reaction or soft tissue calcification. CONCLUSIONS A sound united fracture of the distal third region of the ulnar shaft is identified. The fracture has united soundly with no significant displacement or angular deformity of fracture fragments. The proximal ulna as well as radius plus wrist and elbow joint regions are intact and no further traumatic abnormalities are visualised. No evidence of active osteitis or bony cross union between the radius and ulna. DR BRIAN FV5PEI BP/dcc I

8 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.