Interstate medical journal . 6. Pyelography or ureteral catheterization serves as an accuratemethod for the anatomical localization of renal or ureteral , or plates made with the stomach and duodenum filledwith an opaque suspension, serve an as accurate method for theanatomical localization of gall-stones as well as showing much in-direct evidence of the stone by demonstrating the presence ofadhesions, distortion of the cap, and spasm. iCole, L. G. (Medical News, March 15, 1902), 954 INTERSTATE MEDICAL JOURNAL REPORT OF TWO UNUSUAL CASES OF FRACTURES. By ARRIE BAMBERGER, B.
Interstate medical journal . 6. Pyelography or ureteral catheterization serves as an accuratemethod for the anatomical localization of renal or ureteral , or plates made with the stomach and duodenum filledwith an opaque suspension, serve an as accurate method for theanatomical localization of gall-stones as well as showing much in-direct evidence of the stone by demonstrating the presence ofadhesions, distortion of the cap, and spasm. iCole, L. G. (Medical News, March 15, 1902), 954 INTERSTATE MEDICAL JOURNAL REPORT OF TWO UNUSUAL CASES OF FRACTURES. By ARRIE BAMBERGER, B. S., M. D., Instructor in Surgery, Medical Department, University of Illinois, Chicago. The reason for my reporting these two cases of fracture is theunusual features connected with them, the first case having anunusual pathology, and the second case an unusual I. R. D., a machinist, 40 years of age, was admitted to my clinic May 16, 1916,giving the following history: While at work 6 days previously, he suddenly. Fig. l. fell to the floor, the cause for which was unknown. He was removed to thecompanys hospital and remained there two days, and then went home, beingdispleased with the treatment he was receiving. Few days later he came tothe University for examination. —At that time examination showed swelling and ecchymosisabout the right clavicle, and total inability to move the arm at the shoulderjoint. On palpation I found that the outer half of the clavicle could be de-pressed, and that when pressure was released, it would rebound upward, andthe acromial end of the clavicle would be above the acromion process. With these findings I made the tentative diagnosis of acromio-claviculardisarticulation, and ordered an x-ray to be taken. The x-ray picture, as in Bamberger: Tiro Unusual Cases of Fracture 955 Fig. 1, showed a longitudinal fracture through the clavicle, with an upwarddisplacement of the superior fragment. Treatment.—I put the arm up in Say
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