. The Roentgen rays in medicine and surgery as an aid in diagnosis and as a therapeutic agent : designed for the use of practitioners and students . anced from point topoint in a tolerably regular manner, and its fine of advance was differ-ent in men and women. Congenital Malformations It is not infrequently difficult for the surgeon to decide from thedata obtained by the ordinary methods of examination whether or nothe should attempt to improve the condition of the patient. The X-raysafford the surgeon a means of determining the exact condition of thebones, and, if an operation seems desirabl


. The Roentgen rays in medicine and surgery as an aid in diagnosis and as a therapeutic agent : designed for the use of practitioners and students . anced from point topoint in a tolerably regular manner, and its fine of advance was differ-ent in men and women. Congenital Malformations It is not infrequently difficult for the surgeon to decide from thedata obtained by the ordinary methods of examination whether or nothe should attempt to improve the condition of the patient. The X-raysafford the surgeon a means of determining the exact condition of thebones, and, if an operation seems desirable, assist him to plan the bestmethod of procedure. The following illustrations show how readily thedistribution of the bony portion of the hand can be made out: — Deficiency and Arrested Development of Bones.— Dr. Lane-^ reportstwo cases of deficiency of the shaft of the ulna, treated successfully bythe insertion of a rabbits femur. He gives an X-ray photographillustrative of the operation. 1 Fortschrilte Geh. d. Roentgenstr., B. I, 1897-1898, p. Trans. Clin. Soc, London, Vol. XXXII, 1899, p. 44. DEVELOPMENT OF THE SKELETON 463-. Fig. 243. Congenital malformation of hand. Dr. Schorstein ^ reports a case of congenital absence of both clav-icles, and Dr. Alfred G. Levy,2 a case of arrested development of thethird and fourth ribs. These cases are illustrated by radiographs. 1 Lancet, January 7, 1899, p. 10. - British Medical Journal, May 13, 1899, p. 1150. 464 THE ROENTGEN RAYS IN MEDICINE AND SURGERY Spina Bifida. — In this disease Dr. Carl Beck ^ has found that theradiograph showed whether there was an opening in the spinal columnand gave some indications of the character of the contents of the sac.


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