Industrial medicine and surgery . with his outstretched hands. He immediatelyfelt pain in his right wrist and had all the symptoms of a sprainedwrist. He reported to the doctor at once. The wrist was x-rayedand the laboratory reported a linear fracture of one of the smallbones in the wrist. Plaster splint was applied and the employee al-lowed to go home. Recovery seemed to progress favorably for fourdays when suddenly the wrist began to swell. It was again x-rayedand this time the roentgenologist noted that two of the bones showedsome change. Both wrists were then x-rayed on the same plateand
Industrial medicine and surgery . with his outstretched hands. He immediatelyfelt pain in his right wrist and had all the symptoms of a sprainedwrist. He reported to the doctor at once. The wrist was x-rayedand the laboratory reported a linear fracture of one of the smallbones in the wrist. Plaster splint was applied and the employee al-lowed to go home. Recovery seemed to progress favorably for fourdays when suddenly the wrist began to swell. It was again x-rayedand this time the roentgenologist noted that two of the bones showedsome change. Both wrists were then x-rayed on the same plateand at the same time. A comparison of the two showed decreased 707 708 INDTTSTKIAL MEDICINE AND SURGERY density in all of the bones of the right wrist. The first plate was thencarefully re-examined and what had been considered a fracture wasfound to be a small area of necrosis in the bone. A diagnosis ofprobable tuberculosis of the wrist was made and fixation treatmentcontinued. A week later the rc-ray showed definite necrosis of two. 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-
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