Annals of surgery (1885) (14753422396)
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Identifier: annalsofsurgery26philuoft (find matches)
Title: Annals of surgery
Year: 1885 (1880s)
Authors:
Subjects: Surgery
Publisher: Philadelphia Lippincott
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto
Text Appearing Before Image:
ple that I know of this veryrare dislocation. (Plate III.) The patient, a lad of seven-teen years, working in a colliery, was sent to me by Dr. W. E.Thomas, of Ystrad, who had diagnosed the case at the time ofthe injury eight months before the skiagraph was taken.The injury which caused the dislocation was the impact of thesole of the boot against the roof of a cutting, underground,the patient lying on a moving trolley with his feet in front.The patient has a useful foot, and we advised non-inter-ference. There is a fracture through the neck of the astragalus,the body is dislocated backward, the trochlear surface beingin contact with the tendo Achillis,—in other words, there is-an axial rotation of 90 degrees backward through its trans-verse axis anticlockwise. There is no formation of bone in the gap between theneck and displaced body of the astragalus, for the fibularmalleolus is distinctly recognized. The tibial malleolus isseen resting upon the two segments. This skiagraph shows
Text Appearing After Image:
Plate I.—Skiagraph showing needle embedded in hand and forearm ; a, position onJune 26. 1896; //, position on August 26, 1896.