. 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 . Fig. 296. Uninjured toot. (Compare with preceding figure.) FRACTURES AND DISLOCATIONS 525 Advantage of comparing Injured and Uninjured Foot. — Cuts 295 and296 show the advantage of taking a photograph of both the injured anduninjured foot. Fractures of Phalanges of Great Toe and Fracture of First Phalanx ofSecond Toe.—-Alfred W., twenty years old, patient of Dr. H. W. Gush-ing, caught his right foot between the elevator and the floor above, andwas
. 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 . Fig. 296. Uninjured toot. (Compare with preceding figure.) FRACTURES AND DISLOCATIONS 525 Advantage of comparing Injured and Uninjured Foot. — Cuts 295 and296 show the advantage of taking a photograph of both the injured anduninjured foot. Fractures of Phalanges of Great Toe and Fracture of First Phalanx ofSecond Toe.—-Alfred W., twenty years old, patient of Dr. H. W. Gush-ing, caught his right foot between the elevator and the floor above, andwas brought directly to the hospital. There was some ecchymosis and. Fig. 297. Fractures of phalanges of great toe and fracture of first phalanx of second toe. Two ofthese fractures were unsuspected before the radiograph was made. swelling across the entire metatarsal region and base of toes, but nofracture of metatarsals was made out. There was bony crepitus andpain in phalanx of great toe. The X-ray photograph showed fracturesof the phalanges of great toe and of the phalanx of second toe. Thesecond fracture of the great toe and the fracture of the second toe werenot suspected by the ordinary methods. The uninjured foot was takenby the side of the injured foot and on the same plate for purposes ofcomparison, but is not shown. 526 THE ROENTGEN RAYS IN MEDICINE AND SURGERY Dislocations In certain cases it is difficult to distinguish between a dislocationand a fracture; radiographs indicate clearly the conditions which arepresent. The following cuts (Figs. 298, 299, 300, 301, and 302) areillustrative of dislocations.
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