The Röntgen rays in medical work (1899) (14570246700)

Identifier: rntgenraysinmedi00wals (find matches)

Title: The Röntgen rays in medical work

Year: 1899 (1890s)

Authors: Walsh, David

Subjects: X-rays Radiography X-Rays Radiography

Publisher: London : Baillière, Tindall and Cox

Contributing Library: Francis A. Countway Library of Medicine

Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

Text Appearing Before Image:

were slippingover bony prominences. Lateral flexion of neck markedly diminished, especiallyto the right. No marked lateral deformity on either side. The spinous pro-cesses of the vertebrae above the fourth could not be felt, and seemed tu be dis-placed forwards, the fourth being very prominent. No definite projection,however, of the body of the fourth could be felt in the pharynx. The chest andabdomen moved well in respiration, and neither loss of muscular power nor ofsensation was anywhere detected. The pain complained of lay chiefly in thedistribution of the descending superficial branches of the cervical plexus ofnerves. The Rontgen photograph taken from the side showed the body of thethird cervical vertebra to be a considerable fraction of an inch in advance of thatof the fourth, whilst the postero-lateral view taken from the left side showedconsiderable separation of the transverse processes of those two vertebrae. * The Sheffield Quarterly Medical Journal, October, 1897, p. 30.

Text Appearing After Image:

Fig. 6Q.—Fkactuke-Dislocation of Cekvical Spike.From the Sheffield Medical Journal. MEDICAL AND SURGICAL APPLICATIONS 147 Remarks.—The rarity of the long survival of a case of fracture-dislocationof the spine in the cervical region is well known, and depends, of course, on thelesion of the cord which so generally accompanies that injury. The rarity ofsuch an injury to bone and ligament without involvement of the cord is perhapsequally great. Fractures of the ribs, which are now and then difficult todetect, may be diagnosed by the radiograph. In some instances—as, for example, in lunatic asylums—the proof of such injuriesmay have a medico-legal interest. Indeed, it may be mentionedin passing that the rays are likely to be of special service to thesurgeon when called upon to diagnose injuries of lunatics, mutes,infants, and other folk who are from any reason unable to furnishsound personal evidence of their subjective symptoms. Wheredeath has taken place, a tedious dissection ma

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1899

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