The Röntgen rays in medical work (1899) (14733925736)

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:

Fig. 57.—Double Colles Fracture showing Longitudinal Fracture ofRadius with Slight Impaction, and Fracture of Styloid Process of Ulna. solution of continuity at the point of tenderness, where a weeklater callus appeared. Fracture of the Humerus.—This bone is readily photographedthroughout its length by the Eontgen methods, which are of special * Boston Medical News, December 26, 1896. MEDICAL AND SURGICAL APPLICATIONS 135 value in determining the nature of obscure injuries at its upperand lower ends. The exact diagnosis of fractures about the head,as every surgeon knows, is often attended with great, if notinsuperable, difficulty, especially when there is much swelling.Incomplete separation of the head of the humerus at its junctionwith the shaft has been reported in cases that had been regardedas sprains before the Eontgen examination, and it seems notunlikely that such injuries may prove less rare than has beenhitherto suspected. So, too, fissures due to direct violence have

Text Appearing After Image:

Fig. 58.—Colles Fracture, with Rupture of Radioulnar Ligament. often been observed in cases which, were it not for the Eontgenrays, would have been classified as bruising of the soft tissues.In a case under Mr. Lynn Thomas, a comminuted fracture of thesurgical neck, it would formerly have been impossible to make outthe precise nature of injury. Fractures about the elbow are often attended with such rapidswelling that, unless seen at once, it is in many instances im-possible to ascertain the extent of the injury for several days.Indeed, it is hardly too much to say that under such circum-stances a Eontgen photograph of the swollen elbow is absolutely 136 THE MONTGEX RA YS IN MEDICAL WORK the only means of exact diagnosis at the command of the surgeon,who may in this way save much valuable time and anxiety. Forinstance, the damage may be of such a kind as to demand promptexcision. In any event, the #-rays will indicate whether the lineof fracture at the lower end of the humerus is (a)

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1899

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