File:Practical electro-therapeutics and X-ray therapy - with chapters on phototherapy, X-ray in eye surgery, X-ray in dentistry, and medico-legal aspect of the X-ray (1912) (14753987681).jpg

Identifier: practicalelectro00mart (find matches)
Title: Practical electro-therapeutics and X-ray therapy : with chapters on phototherapy, X-ray in eye surgery, X-ray in dentistry, and medico-legal aspect of the X-ray
Year: 1912 (1910s)
Authors: Martin, James Madison, 1866-1947
Subjects: Electrotherapeutics X-rays Diagnosis, Radioscopic Eye Electric Stimulation Therapy X-Ray Therapy Ophthalmologic Surgical Procedures
Publisher: St. Louis : C.V. Mosby
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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y, and the patient is hardly aware thathe is losing the use of his elbow until a great deal of damage hasbeen done that can not be easily undone. A stiff elbow is a greathandicap to a man or woman, no matter what position they mayoccupy in life. All elbow injuries should be skiagraphed early, at least two ex-posures being made at right angles to each other. If there is nofracture or dislocation, the patient may be allowed to use the armat once, but, if there is a fracture of any consequence, continueduse will only aggravate the condition. Fig. 148 is a skiagraph of X-RAY IN FRACTURES AND DISLOCATIONS 321 the arm of a child 5 years old. To one not familiar with theappearance of an elbow at this age, a fracture would be the diag-nosis. The fragment at A is the displaced epiphyseal end of thehumerus, that part which would have been the internal condyle ofthe humerus. Displacement of the epiphysis at this point is verycommon. Fig. 149 is a skiagraph of an injured elbow in another child of
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Fig. 149.—Fracture of the lower end of the humerus. 5 years. The epiphysis is not displaced, but the lower end of thehumerus is split and the posterior portion is pushed backward, leav-ing the bone in an ugly shape. Eecognition of an injury of this kindshort of a skiagraph is out of the question. To wait to see whatthe results are is time wasted, during which the injury is rapidlygetting beyond control. Fig. 150 is a skiagraph of an adult elbow, showing a fracture,with slight displacement of the head of the radius. This injurywas thought to be a sprain, and was so treated for about two weeks. 322 PRACTICAL ELECTRO-THERAPEUTICS AND X-RAY THERAPY After the skiagraph was made the arm was placed in a fixed dress-ing for a time, when all of the distressing symptoms disappeared.

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