The Röntgen rays in medical work (1907) (14570805899)

Identifier: rntgenraysinmedi1907wals (find matches)

Title: The Röntgen rays in medical work

Year: 1907 (1900s)

Authors: Walsh, David

Subjects: X-rays Radiography X-Rays Radiography

Publisher: New York : William Wood

Contributing Library: Francis A. Countway Library of Medicine

Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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ow the bullet embedded in the upper portion ofthe os calcis. I located the bullet before removing it by Girdnersbullet-probe. By the skiagraph it is seen that the bullet is notlocated in the joint. This is a point which was of the greatestimportance, for the joint was not opened during the operation.It was supposed that we could not remove the bullet without open-ing the joint, and it could hardly have been avoided had we not hadsuch accurate knowledge of the location.* It will be seen, therefore, that the Rontgen methods furnish, asit were, an absolute chart upon which the surgeon may found,* The Journal, Chicago, January 16, 1897, p. 124. 136 THE EONTGEN EA YS IN MEDICAL WORK not only his diagnosis and plan of operation, but also the hardlyless important point of prognosis. Bullet lodged in the Axilla. In one case a radiogram, taken by Dr. E. G. J. Gr. Calverley,of the Portland Field Hospital, showed a bullet lying betweenthe axillary artery and vein. The entrance wound was a little

Text Appearing After Image:

Fig. 66.—Bullet in Shoulder, lying on Scapula. Fired from Front.(Dr. Scott, American X-Bay Journal, July, 1899.) above the insertion of the deltoid muscle. The bullet was removedby Mr. Anthony Bowlby.* * For excellent illustration, see Intercolonial Medical Journal of Australasia,September 20, 1900, p. 452. MEDICAL AND SURGICAL APPLICATIONS 137 Fig: 67 gives a good idea of the record obtained from small shot.It was taken from the arm of a gentleman who had been accidentallyshot twelve months previously. Two pellets lie close to the ulna,a small portion of which is portrayed. They caused no trouble,and as the patient was strong and muscular, their presence couldnot have been detected by any other means. In cases of this kind,where a foreign body has been embedded for a long period of timewithout giving rise to any inconvenience, it need scarcely beremarked that few surgeons would counsel removal. The radiogram of a bullet-wound may help diagnosis in various

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1907

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