File:American X-ray journal (1899) (14570182129).jpg

Identifier: americanxrayjour5618unse (find matches)
Title: American X-ray journal
Year: 1900 (1900s)
Authors:
Subjects: X-Rays Radiography
Publisher: St. Louis : American X-Ray Publishing Co.
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: Open Knowledge Commons and the National Endowment for the Humanities

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Fig. 5. Colles Fracture (Comminuted.) The accompanying skiagram (Fg. 5)show a comminuted Colles fracture dres-sed in cotton and splints, covered overwith bandages. This skiagraph was takenabout two weeks after the accident, andwhile the lines of fracture are not as dis-tinct as if taken earier, they are easilyseen to run in all directions, some extend-ing up the radius longitudinally as high asthree inches above the joint. It alsoshows considerable callus in theinterosseous space near the joint, whichwill probably give considerable obstructionto supination and pronation if not ab-sorbed. This view of the wrist and radius in-dicates to the surgeon that the bones arein excellent position, and so they are asfar as lateral position is concerned; but THE AMERICAN X-RAY JOURNAL take a look at Fig 6, which is a side viewof the same hand, and you see a consider-able dipping in the dorsal outline of theradius, giving to the wrist, as indicated by
Text Appearing After Image:
Fig. 6. Side View of Oolles Fbacture the dorsal surface of the wrist, what mightbe called a swayback deformity. If theradius had been arched by a heavy padupon the anterior splint under the lowerend of the upper fragment, and a smallpad under the dorsal splint placed uponthe upper end of the lower fragment, unionwould not have taken place in this de-formed position. The natural arch in theradius at this point should be kept in mindby the surgeon who attempts to replacethe fragments of a fractured radius in thislocation, and ample padding be used tomaintain this natural curve. This faultyposition is very likely the cause of thislarge callus in the interosseous space. Here again is the practical inability of anexcellent surgeon to know the condition ofthis patients radius until revealed to himby the x-rays. When the x-rays are con-sulted in every doubtful case of injuryabout the wrist and other joints, there willbe fewer bad result from such injuries. Fig. 7 represents the arm of a boy

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