. The American journal of roentgenology, radium therapy and nuclear medicine . hecases should remain in the prone position whilethe distention is greatest. It is possible that the oxygen might breakup some newly formed adhesions. I feel, how-ever, that one must take some chances in allmethods of diagnosis. I am quite satisfied if Ican clear up some obscure condition so thatthe patient is saved from an exploratory opera-tion. NON-TRAUMATIC EPIPHYSEAL SEPARATIONS BY WILLIAM A. EVANS, DETROIT, MICH. THE frequency with which we have en-countered both recent and old epiphy-seal separations of
. The American journal of roentgenology, radium therapy and nuclear medicine . hecases should remain in the prone position whilethe distention is greatest. It is possible that the oxygen might breakup some newly formed adhesions. I feel, how-ever, that one must take some chances in allmethods of diagnosis. I am quite satisfied if Ican clear up some obscure condition so thatthe patient is saved from an exploratory opera-tion. NON-TRAUMATIC EPIPHYSEAL SEPARATIONS BY WILLIAM A. EVANS, DETROIT, MICH. THE frequency with which we have en-countered both recent and old epiphy-seal separations of the hip joint without ahistory of trauma leads us to make a moreor less exliaustive study of the literaturepertaining to epiphyseal separations andjuxta-epiphyseal fractures. Our interest in the subject was accentu- vation, two occurred in girls and seven inboys. The following case report is typical ofall the cases, with the possible exceptionthat the symptoms persisted over a longerperiod of time, and the permanent deform-ity was not as great as is most frequentlyobserved:. Case I, Plate i. June 19,1917. The plate shows a shghtdecalcification of the osseous structures, and a littledisturbance of the epiphyseal line. This is best shownat the lower margin. Case I, Plate 2. Oct. 6, 1917. Same finding as plate Iwith a little more disturbance at the lower margin. ated by a reversal of our diagnosis of spon-taneous epiphyseal separation by one ofthe most prominent Eastern any hesitation whatever he de-clared that the condition was one of afracture of the neck of the femur, and thatthe case had been maltreated. All of the cases observed showing activesymptoms were in patients of the adoles-cent period. Invariably these patients wereof overweight and were oversized for theirage. Of nine cases which came under obser- Miss S., age eleven and a half years, witha development of thirteen or fourteenyears, was referred for roentgen examina-tion of the hip in June, 1917.
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