. 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 . IPig. 168.—Spontaneous fracture of the patella in a Charcot knee. The faint outline ofthe bones distinctly shows the early changes that take place in this disease. Patella.—Fig. 168 represents a case in which there was a spon-taneous fracture of the patella without violence. The patient gavea specific history, and the knee presents a typical picture of a begin-ning Charcot. The fragments were wired together, and the patientis still


. 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 . IPig. 168.—Spontaneous fracture of the patella in a Charcot knee. The faint outline ofthe bones distinctly shows the early changes that take place in this disease. Patella.—Fig. 168 represents a case in which there was a spon-taneous fracture of the patella without violence. The patient gavea specific history, and the knee presents a typical picture of a begin-ning Charcot. The fragments were wired together, and the patientis still in the sanitarium, with little or no hope of a useful knee. Femur.—Fractures of the femur are very common. They may betransverse, with little or no displacement, or oblique, with consider-able displacement. The displacement is generally greater in adults 342 PRACTICAL ELECTRO-THERAPEUTICS AND X-RAY THERAPY. Fig. 169.—Appeara of a reunited femur months after the fragments were fastened to-gether with a Lane plate. than in children. Fig. 169 is a skiagraph that was made monthsafter the reduction of the fracture and the application of the silverplate by means of screws. The fracture occurred in a boy 9 years X-RAY IN FRACTURES AND DISLOCATIONS 343 old, was transverse, and the displacement was great. Two or threeunsuccessful attempts were made to reduce the fracture and keepthe bones in apposition. Without the use of the x-ray this boywould have had one leg at least % inch shorter than the other, whichwould have been an impediment to him through life. Fractures of the femur should be skiagraphed in two directions,the exposures being made at right angles to each other. Fracturesin the shaft of the bone are usually not very difficult to skiagraph,but injuries in the head and neck are sometimes quite difficult, re-quiring a number of exposures in different directions to clearly out-line the e


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Keywords: ., boo, bookcentury1900, bookdecade1910, booksubjecteye, bookyear1912