The Röntgen rays in medical work (1899) (14756929085)

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:

ne,shows some good records of muscles and other soft structures.Thus, in the outer side of the little finger metacarpal may betraced the abductor and flexor brevis muscles. On the outerside of the middle joints of the second and third fingers are whatappear to be the lateral expansions of the common extensor ofthe digits. Along the back of the bones of the metacarpal andphalanges of the thumb the extensor tendons can be clearlytraced. The tendon of the extensor secundi internodii, indeed,can be followed up to its insertion at the base of the terminalphalanx. Unfortunately, most of these results are lost in repro-duction. In fractures about the pelvis the Eontgen rays, so far as onecan judge, are not likely to help the surgeon much. The hip,again, is deeply placed, and so far satisfactory results are notalways attainable. However, much is often to be learnt in thecase of children and young adults, in one case a fracture of theneck of the femur was shown in a muscular adult, six feet in

Text Appearing After Image:

Fig. 61.—Hand showing Old-Standing Fracture of Metacarpal Bone.Result of Cogwheel Accident. Somewhat reduced. Dr. J. R. Philpots case. 11 MEDICAL AND SURGICAL APPLICATIONS 141 height. It will be wise to try and secure a record of impactedintracapsular fracture of the hip, because of its frequent after-shortening, which may be attributed by patients to unskilfultreatment. Under such circumstances a differential photograph,showing an alteration in form or relation of the injured side,might be of the utmost value to the medical attendant. Coxa Vara.—Mr. Lynn Thomas has communicated the case ofa young man aged about eighteen who injured his hip in playingfootball. From an examination of his signs and symptoms, somemonths after the original injury, he would have concluded thatabsorption was taking place of the head of the bone, most likelyafter impaction into it of the neck. An examination by the #-rays,however, showed the bending of the neck of the femur to be oneof coxa vara. It is w

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1899

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