Industrial medicine and surgery . Fig. 198.—Tuberculous wrist joint discovered few days following injury to wrist. of the bones and the others were beginning to lose their clear outline(see Fig. 198). In spite of complete immobilization of the wristand keeping the patient quiet in bed the diseased condition progressedrapidly and within a month there were signs of fluctuation about thejoint. After consultation it was decided that active operative treat-. Same as Fig. 189, a month later. ment was indicated; the joint was opened and all of the bones curettedout. Drainage was established and irrig
Industrial medicine and surgery . Fig. 198.—Tuberculous wrist joint discovered few days following injury to wrist. of the bones and the others were beginning to lose their clear outline(see Fig. 198). In spite of complete immobilization of the wristand keeping the patient quiet in bed the diseased condition progressedrapidly and within a month there were signs of fluctuation about thejoint. After consultation it was decided that active operative treat-. Same as Fig. 189, a month later. ment was indicated; the joint was opened and all of the bones curettedout. Drainage was established and irrigations of weak iodin solutionwere given. The wrist was immobilized so as to give the best func-tional result on recovery. At the end of three months the woundhad practically healed. Two months later this patient showed the THE COINCIDENCE OP ACCIDENTS AND DISEASE 709 early signs of pulmonary tuberculosis and was sent to a sanitariumin New Mexico where he remained for eight months. He returnedin excellent condition, all signs of the pulmonary trouble having dis-appeared. He had been using his right wrist for the last three monthsand to our surprise had considerable motion. The x-ray showed nosigns of the tuberculous bone disease. At the end of thirteen monthsthis employee was back at work. Realizing that it would be dangerousfor him to return to heavy manual labor we had stimulated him tostudy along clerical lines so that on his return he was pla
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