. Röntgen ray diagnosis and therapy . hich was divided lon-gitudinally, thus making akind of bifurcation. The phalangeal end was severed Pl* 178. - Rudimentary Ear in a1 ° Child of Three Months. (Compare entirely, but the carpal end, after being fractured longi-tudinally, was left in slight connection with the metacarpal a new bone was obtained that was surrounded by dorsal aswell as palmar flaps. There was little trouble during the after-treatment. Fig. 174 illustrates congenital dislocation of the hand of a manof thirty years. There is considerable atrophy and the functionis very m


. Röntgen ray diagnosis and therapy . hich was divided lon-gitudinally, thus making akind of bifurcation. The phalangeal end was severed Pl* 178. - Rudimentary Ear in a1 ° Child of Three Months. (Compare entirely, but the carpal end, after being fractured longi-tudinally, was left in slight connection with the metacarpal a new bone was obtained that was surrounded by dorsal aswell as palmar flaps. There was little trouble during the after-treatment. Fig. 174 illustrates congenital dislocation of the hand of a manof thirty years. There is considerable atrophy and the functionis very much disturbed. Most malformations of the foot are of a similar nature, andtheir therapy has to be viewed from the same points of view. Fig. 175 illustrates the supernumerary toes in a boy of sixmonths. The phalanges of the fifth toe are well developed, whilethe supernumerary appendix shows only traces of osseous was natural therefore that the sixth was to be regarded a truesupernumerary digit; therefore it was removed. •. Child of Three 177.) 248 THE BONTGEN EAYS In the Journal of the American Medical Association, October12, 1901, a series of cases representing congenital malformationsis illustrated. Among them the case of a boy of three weeks whoseleft lower extremity was normal, while the right one showed short-ening of the femur to the extent of an inch, is especially note-worthy. There was no muscular atrophy. Shortening of thehealthy femur for the purpose of equalization was suggested. Ina similar case, concerning a child of six months, the shortening ofthe healthy femur was successfully performed by the was no disturbance of development observed, the time ofobservations being two years now. Congenital absence of the nasal bones and insufficient develop-ment of the nasal processes of the superior maxilla was observedin a boy of two months (Fig. 176). The patient was ill nour-ished, and the family history was negative. As to congenital


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