. The Röntgen rays in medical work . Fig. 66.—Bullet in Shoulder, lying on Scapula. Fired from Front.(Dr. Scott, American X-Bay Journal, July, 1899.) above the insertion of the deltoid muscle. The bullet was removedby Mr. Anthony Bowlby.* * For excellent illustration, see Intercolonial Medical Journal of Australasia,September 20, 1900, p. 452. MEDICAL AND SURGICAL APPLICATIONS 137 Fig: 67 gives a good idea of the record obtained from small was taken from the arm of a gentleman who had been accidentallyshot twelve months previously. Two pellets lie close to the ulna,a small portion of w
. The Röntgen rays in medical work . Fig. 66.—Bullet in Shoulder, lying on Scapula. Fired from Front.(Dr. Scott, American X-Bay Journal, July, 1899.) above the insertion of the deltoid muscle. The bullet was removedby Mr. Anthony Bowlby.* * For excellent illustration, see Intercolonial Medical Journal of Australasia,September 20, 1900, p. 452. MEDICAL AND SURGICAL APPLICATIONS 137 Fig: 67 gives a good idea of the record obtained from small was taken from the arm of a gentleman who had been accidentallyshot twelve months previously. Two pellets lie close to the ulna,a small portion of which is portrayed. They caused no trouble,and as the patient was strong and muscular, their presence couldnot have been detected by any other means. In cases of this kind,where a foreign body has been embedded for a long period of timewithout giving rise to any inconvenience, it need scarcely beremarked that few surgeons would counsel removal. The radiogram of a bullet-wound may help diagnosis in various. Fig. 67.—Shot embedded in Muscular Forearm (taken in 1897). ways. In the following case, related by Dr. Mandras, of Paris,it threw light upon an injury of the kind long after its infliction : M. B was struck about fifteen years ago by a bullet from a revolver a little below the distal end of the dorsal surface of thefirst metacarpal. There was no fracture, but the ball glancedround the bone, and caused an extensive laceration of the tissuesat the lower and inner part of the thenar eminence. Forty days after the accident the wound was healed, bub therewas complete loss of power of the thumb. Professor Dubreuilextracted a disc-shaped fragment of a bullet the size of a after a second piece, as large as a lentil, was taken away,followed by a third two and a half months later, but it was a yearbefore the thumb regained its movements.* * Radiographie en Medecine, par V. Mandras, , Paris Thesis (Bailliere,Paris, 1896, p. 28). 138 THE RONTGEN RA YS IN MEDICAL WORK
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