. Atlas and epitome of traumatic . Fig. 156.—Fracture of the second metatarsalbone. Skiagraph from a sailor twenty yearsold injured in marching. Typical swelledfoot. Transverse fracture about the middleof the second metatarsal, with lateral displace-ment. The diagnosis could only have beenmade by means of the Rontgen rays. 340 FRACTURES AND Fig. 157.—Fracture of the fifth metatarsal bone (X-ray). Fielitz,male, twenty-four years old. The injury was produced by a very heavypiece of iron falling on the foot. It is therefore a direct fracture orcrushing-fracture of both phalanges of
. Atlas and epitome of traumatic . Fig. 156.—Fracture of the second metatarsalbone. Skiagraph from a sailor twenty yearsold injured in marching. Typical swelledfoot. Transverse fracture about the middleof the second metatarsal, with lateral displace-ment. The diagnosis could only have beenmade by means of the Rontgen rays. 340 FRACTURES AND Fig. 157.—Fracture of the fifth metatarsal bone (X-ray). Fielitz,male, twenty-four years old. The injury was produced by a very heavypiece of iron falling on the foot. It is therefore a direct fracture orcrushing-fracture of both phalanges of the big toe. Soft parts un-injured; marked swelling. Ordinary dressing; recovery. FRACTURES OF THE LOWER EXTREMITY. 341 In old cases a bony thickening is usually observed aboutthe sustentaculum below the internal malleolus. In anat-omic specimens the sustentaculum is often found united bycallus with the posterior median process of the astragalus. This isolated fracture of the sustentaculum is rare. Itmay be produced by great violence when the foot is insupination or inpronation, suchas making a mis-step in going up-stairs or down-stairs, jumping,or falling from ahorse. In mostfractures of thesustentaculumthe body of theos calcis and theinternal malleo-lus are also frac-tured. Fracture of theanterior processof the os calcismay form partof a comp
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