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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lt of his radioscopic investigations of fractures of th eastragalus, Destot has recognised two chief varieties—(1) Fracturewith displacement: (a) When the displacement is forwards, thefragment projects under the skin, either in the middle line or onone side, (b) When it is backwards, the body of the bone bulgesout more or less beneath the Achilles tendon. There is also anintermediate type in which the tibio-peroneal ligament accompaniesthe posterior fragment, and the foot is slightly dislocated forwards.(2) Fracture without displacement: (a) Complicated; three varieties—calcanean, malleolar, and scaphoid. (5) Simple, either throughthe neck, the anterior or the posterior extremity. The Rontgen photograph of dislocation of astragalus, with rota-tion on its transverse axis, is a good specimen of a not freque ntinjury, and one difficult to estimate exactly without the x-raymethod of investigation (Fig 113). * Radioscopie et Radiographic Cliniques, Dr. Reguier. Bailliere, Paris,,p. 53.
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Fig. 103.—Fracture of Tibia and Fibula ; Three Months after Injury jno External Deformity. Dr. Lows case. MEDICAL AND SURGICAL APPLICATIONS 223 A helpful classification of fractures about the ankle-joint is thatof Stimson, modified by Barnard by the addition of Dupuytrensfracture, as follows : 1. Eversion and abduction fractures: Potts fracture or fracture-dislocation. 2. Inversion fractures. 3. Fracture by upward violence, driving the astragalus betweenthe tibia and fibula : Dupuytrens fracture.

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