. Röntgen ray diagnosis and therapy . Fig. 168.—Fracture in the Middle of the Fifth Metacarpal Bone, show-ing Ensheathing Callus. times a fracture is recognised by palpation, but a number of asso-ciated injuries are overlooked. The skiagraph gives a splendidgeneral view in such an instance, calling attention to points whichwere not thought of. SHOULDER AND UPPER EXTREMITY 239 In treating phalangeal fractures it is recommended to use therubber drainage-splints advised by the author, and to confine thewhole hand. This may be done by a palmar splint or a shortplaster-of-Paris dressing, at least f
. Röntgen ray diagnosis and therapy . Fig. 168.—Fracture in the Middle of the Fifth Metacarpal Bone, show-ing Ensheathing Callus. times a fracture is recognised by palpation, but a number of asso-ciated injuries are overlooked. The skiagraph gives a splendidgeneral view in such an instance, calling attention to points whichwere not thought of. SHOULDER AND UPPER EXTREMITY 239 In treating phalangeal fractures it is recommended to use therubber drainage-splints advised by the author, and to confine thewhole hand. This may be done by a palmar splint or a shortplaster-of-Paris dressing, at least for the week following the in-. Fit;. 169.—Old Displaced Fkactukk of the Second Metacarpal Bone. jury. Then a short wooden phalangeal splint may be resorted much-favoured cardboard splint seems to be useful, but is notfirm enough, as is shown by skiagraphy, and should therefore bediscarded. Foreign bodies in the hand are easily shown. Especiallyneedles in the palm often come under the observation of the prac-titioner. CHAPTER XII HAL FORM A TIONS As previously mentioned, the great scientific and practicalvalue of the Rontgen rays is also evident in the study of congenitalmalformations. Skiagraphy of the extremities especially has givenmore valuable information than dissection. The exact anatomicaldiagnosis that it enables us to make informs us whether surgicalinterference in a case of malformation is possible, and if so, out-lines clearly our modus operandi beforehand. The ingenious oper-ations of Bardenheuer (division of the ulna for carpal implanta-tion) and of von Eiselsberg (transplantation of the toe),
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