The Röntgen rays in medical work (1907) (14571070937)

Identifier: rntgenraysinmedi1907wals (find matches)

Title: The Röntgen rays in medical work

Year: 1907 (1900s)

Authors: Walsh, David

Subjects: X-rays Radiography X-Rays Radiography

Publisher: New York : William Wood

Contributing Library: Francis A. Countway Library of Medicine

Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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f age.Both hands were greatly deformed by gouty deposits and jointchanges. The extent of the deformity may be inferred from theoutline of the accompanying radiogram, and from the changes inthe bone. The gouty changes were principally confined to the hands,a fact that may possibly have had some connection with his calling.He. was under hot-air treatment as a hospital patient, and thepresent writer opened and scraped many gouty abscesses withmuch improvement to the appearance and the mobility of thehands. Since that time an improved operative treatment by dis-secting away the infiltrated capsules of the joint has been intro-duced. The haziness of the radiogram is due to general uraticdeposit. Some joints have become anchylosed, and in places thebones have been eroded by the gouty process. 266 THE RONTGEK HA YS IN MEDICAL WORK Gummata and other Subperiosteal Thickenings. The phalangeal enlargement met with in rachitic dactylitisdescribed by Dr. Jacob Sobel, of New York, has been shown by

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Fig. 133.—Gouty Hand, with Atrophic Destp.t-ction of Bone andJoints, Anchylosis, Dislocation, etc.Walsh. Dr. Rudolph Newrath,* who examined several cases with the»;-rays, to be entirely due to periosteal thickening. As regards the outlines of bones, the Eontgen rays are useful inthe hypertrophies due to syphilis, enchondroma, rickets, gout, andrheumatism, and also in the important class of subperiostealthickenings. A beautiful example of a gumma of the ulna was * Wiener Klin. Woch., June 4, 1903.

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1907

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