The Röntgen rays in medical work (1907) (14757172392)

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

Text Appearing Before Image:

Fig. 105.—Fkactuiie and Displacement of Scaphoid in Adult.Mr. Robert Joness case. Dr. Morgan. Fractures about the Head. Fractured Skull may be readily shown by the x-rays whensituated upon the face or the cranium—that is to say, anywhereexcept at the base of the skull. In the lower jaw fractures can bereadily demonstrated by using the method described for takingteeth (q.v.). In all doubtful or obscure cases the surgeon will dowell to appeal to this method. Fractures of the vertebrae, from the nature of the case,usually present little difficulty in the way of diagnosis. Thereare, however, instances on record of unsuspected partial fracturesof the vertebrae which have been rendered complete by some move- 15 226 THE RONTGEN RAYS IN MEDICAL WORK

Text Appearing After Image:

Fig. 106.—Feacture-Dislocation of Cervical Spine.From the Sheffield Medical Journal. MEDICAL AND SURGICAL APPLICATIONS 227 ment, voluntary or involuntary, on the part of the patient. Thus,a patient has been known suddenly to break off a partially frac-tured odontoid process of the axis by nodding his head. Another,again, suffering from obscure cervical injury, has been suspectedof malingering, and roughly shaken up, with fatal results. Indoubtful injuries of the neck and spine, therefore, it would beadvisable, wherever possible, to obtain an x-ray record. In theneck this is comparatively easy, and at the present time equallygood results can be obtained lower down the spinal column.Lastly, if fractures of the spine be exactly located by the rays, thefeasibility of such surgical methods as wiring might be consideredby the surgeon. An excellent illustrative case of dislocation and probable fracturaof cervical vertebrae has been published by Mr. R. J. Pye-Smith,of Sheffield. The diagnos

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1907

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