Practical electro-therapeutics and X-ray therapy - with chapters on phototherapy, X-ray in eye surgery, X-ray in dentistry, and medico-legal aspect of the X-ray (1912) (14777041503)

Identifier: practicalelectro00mart (find matches)

Title: Practical electro-therapeutics and X-ray therapy : with chapters on phototherapy, X-ray in eye surgery, X-ray in dentistry, and medico-legal aspect of the X-ray

Year: 1912 (1910s)

Authors: Martin, James Madison, 1866-1947

Subjects: Electrotherapeutics X-rays Diagnosis, Radioscopic Eye Electric Stimulation Therapy X-Ray Therapy Ophthalmologic Surgical Procedures

Publisher: St. Louis : C.V. Mosby

Contributing Library: Francis A. Countway Library of Medicine

Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

Text Appearing Before Image:

Knee.—The treatment of fractures about theknee is frequently very unsatisfactory. There may be a completefracture of the upper end of the tibia or a separation of its epiphy-sis. The tuberosities may be fractured and displaced, causing noend of suffering, with lasting bad effects. The patella may be frac-tured in any direction, or crushed or broken in many pieces. Theknee-joint may contain floating or loose bodies, which at times causemore or less trouble to the patient. Skiagraphs of the knee should always be taken in both the antero- X-RAY IN FRACTURES AND DISLOCATIONS 341 posterior and lateral positions. If the patella is fractured trans-versely, the lateral skiagraph will reveal the condition, but, when itis broken in several pieces, the patient should lie face downward,with the tube behind the knee and the plate in front or beneath. Inknee injuries the fluoroscope is not reliable and should not be de-pended upon, for much that a skiagraph would show is certain tobe overlooked.

Text Appearing After Image:

IPig. 168.—Spontaneous fracture of the patella in a Charcot knee. The faint outline ofthe bones distinctly shows the early changes that take place in this disease. Patella.—Fig. 168 represents a case in which there was a spon-taneous fracture of the patella without violence. The patient gavea specific history, and the knee presents a typical picture of a begin-ning Charcot. The fragments were wired together, and the patientis still in the sanitarium, with little or no hope of a useful knee. Femur.—Fractures of the femur are very common. They may betransverse, with little or no displacement, or oblique, with consider-able displacement. The displacement is generally greater in adults 342 PRACTICAL ELECTRO-THERAPEUTICS AND X-RAY THERAPY

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1912

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