. Röntgen ray diagnosis and therapy . rded as a realcrux medicorum. While dislocation, for instance, should be easilydifferentiated, by the possibility of palpating the joint-surfaceof the shoulder, there are, in fact, many unrecognised cases. Fig. 123 shows deformed union after fracture of the surgicalneck in a girl of fifteen years who fell from a window in the fourthstory. The force of the fall fortunately was broken by wash-linesstrung below, so that the patient escaped with an extensive contu-sion of the right foot, a wound of the length of 6 inches at thefrontal region, and a fracture of
. Röntgen ray diagnosis and therapy . rded as a realcrux medicorum. While dislocation, for instance, should be easilydifferentiated, by the possibility of palpating the joint-surfaceof the shoulder, there are, in fact, many unrecognised cases. Fig. 123 shows deformed union after fracture of the surgicalneck in a girl of fifteen years who fell from a window in the fourthstory. The force of the fall fortunately was broken by wash-linesstrung below, so that the patient escaped with an extensive contu-sion of the right foot, a wound of the length of 6 inches at thefrontal region, and a fracture of the surgical neck of the righthumerus. The competent family physician reduced the fragmentsat once, but they slipped out again; five weeks later, when the an- 180 THE EONTGEN EAYS thor saw the case for the first time, a protrusion of the lower frag-ment was noticed, which was united to the small upper fragmentin juxtaposition. It was a surprise to find that in spite of theimmense deformity there was hardly any functional disturbance. at the time. Osteoclasis, however, was performed, which, whilenot restoring the fragments to a faultless position, brought theminto apposition. This again shows that the significance of a skiagraph for the SHOULDER AND rilKK KXTKKMITY 181 purpose of estimating the degree of functional disability is notalways conclusive. (See Chapter XVII on Medico-Legal Aspects.)Fig. 124 illustrates the case of a fracture of the surgical neckof the humerus in a girl of twenty-four years, who was firsttreated for a contusion, later for rheumatism. Two months
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