. The Röntgen rays in medical work . Fig. 110.—Backward Dislocation (Old)of Metacarpophalangeal Joint ofThumb. Position of sesamoids behindand below bead of metacarpal wellshown. Lynn Thomas. MEDICAL AND SURGICAL APPLICATIONS 235 Mr R. J. Pye-Smifch,* of Sheffield, has published radiogramsshowing the foot dislocated backwards, and also showing the resultof operation effecting the reduction after removal of a large portionof the astragalus. The same surgeon has published a case of fracture of the shaft ofthe ulna, with dislocation of the head of the radius. The injuryhad taken place some little


. The Röntgen rays in medical work . Fig. 110.—Backward Dislocation (Old)of Metacarpophalangeal Joint ofThumb. Position of sesamoids behindand below bead of metacarpal wellshown. Lynn Thomas. MEDICAL AND SURGICAL APPLICATIONS 235 Mr R. J. Pye-Smifch,* of Sheffield, has published radiogramsshowing the foot dislocated backwards, and also showing the resultof operation effecting the reduction after removal of a large portionof the astragalus. The same surgeon has published a case of fracture of the shaft ofthe ulna, with dislocation of the head of the radius. The injuryhad taken place some little time previously, and the radiogramrevealed a remarkable amount of new bone surrounding the dis-located head of the radius. Reduction being found impossiblewithout operation, the head of the radius was excised together. Fig. 111.—Congenital Dislocation of Right Hip in a Child aged8| Years, before Operation. Mr. Robert Joness case. Dr. Morgan. with the new bone which appeared to have been thrown out bythe periosteum of the humerus. In the same paper he reports a traumatic dislocation forwardsof the head of the fibula. Congenital dislocation of the hip can be well shown in children, and Mr. Robert Jones, of Liverpool, has exhibited aninteresting series of skiagraphs showing the relative positions ofthe head of the femur to the acetabulum before, during, and aftertreatment by the bloodless method of Lorenz. * Quarterly Medical Journal, August 1900, p. 405. 236 THE RONTGEN RA YS IN MEDICAL WORK Sometimes a suspected congenital double dislocation may bereally due to a rickety bending of the angles of the thigh-bones. Dislocation of the body of the astragalus backwards is an ex-tremely rare accident. The last edition of this book contained aradiogram taken by Mr. Lynn Thomas from a lad of seventeen,who,


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