The Röntgen rays in medical work (1899) (14570265310)
Summary
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:
ffered from a tubercular abscess. Onexamination, he found that all the bonesof both arms and legs showed an abnormaltransparency. Transparency, denoting malnutrition oratrophic changes, has been noted by variousobservers in such maladies as osteo-arth-ritis, osteomalacia, tubercle, and cancer, andalso in the course of senile decay. Another instance of absorption of bone,apparently after abscess, is the following:The patient, a healthy man, about thirtyyears of age, was struck by a cricket-ballat the end of the right ring-finger, whichwas painful and swollen for several months,and ultimately became stiff. Except for some awkwardness in writing, he suffered little inconvenience fromthe resulting deformity. Upon presenting himself at a Metro-politan hospital a radiogram was taken, which clearly showedosseous union at the terminal joint of the affected finger, whilethe base of the second phalanx was hollowed out, apparently asthe result of an abscess. From the view here given (Fig. 87) it
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Fig. 87.—Finger ofCricketer, show-ing Absorption ofBone and FibrousAdhesions ofJoint. 168 THE RONTGEN RAYS IN MEDICAL WORK can be inferred that any union between the radial half of thejoint surfaces is certainly fibrous, while that on the ulnar side isprobably of the same nature. The bony changes that take place in the various pulmonaryand non-pulmonary osteo-arthropathies can be well demonstrated.A good Eontgen photograph of the hypertrophic non-pulmonaryform of that condition was shown at the Edinburgh BritishMedical Association meeting by Dr. Steven, of Glasgow. Thediffering texture of the new and the original bone was welldemonstrated in the record of the fresh osseous formation roundthe shafts of the radius and the metacarpal bones. In subperiosteal thickenings the differing density of the newand the old bone is readily revealed by Eontgen methods. Thiscontrast is especially conspicuous in cases where necrosis of theshaft is surrounded by an irritative hyperplasia of periosteal