RT Journal A1 Herndon, James H. T1 An Orthopaedic Case Contributed Substantially to the First Malpractice Crisis in the United States in the Nineteenth Century JF The Journal of Bone & Joint Surgery JO The Journal of Bone & Joint Surgery YR 2012 FD September 5 VO 94 IS 17 SP e129 1 OP 7 DO 10.2106/JBJS.J.01991 UL http://dx.doi.org/10.2106/JBJS.J.01991 AB Surprisingly, the first malpractice crisis in the United States occurred in the early nineteenth century1. Recent articles commonly refer to three medical malpractice crises, occurring in the mid-1970s, 1980s, and 2002 to 2003—completely forgetting the first major crisis2,3. Even more surprisingly, the early malpractice crisis was triggered largely by an orthopaedic case, relatively unknown today, involving an irreducible dislocated hip that was first radiographed by the author almost 190 years after the patient's injury.