. Electro-thérapeutique pratique et radiothérapie : avec des chapitres sur la photothérapie, la radiographie en chirurgie oculaire, la radiographie en dentisterie, et l'aspect médico-légal de la radiographie . scaphoïde est fracturé à son point central et le point le plus faible. Cette fracture n'était pas reconnue au moment de la blessure, et le thewrist a été traité pour une entorse. Le processus styloïde de l'ulnawas s'est fracturé et a été déplacé en même temps que le scaphoïde a été fracturé. Les fractures du scaphoïde sont très difficiles à reconnaître par examen fluoroscopique, car l'os est généralement brisé obliqueet la ligne de fracture n'est pas clairement visible avec le TH

• Contributeur: Reading Room 2020 / Alamy Banque D'Images
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. Practical electro-therapeutics and X-ray therapy : with chapters on phototherapy, X-ray in eye surgery, X-ray in dentistry, and medico-legal aspect of the X-ray . scaphoid is fractured at its middle and weakest point.This fracture was unrecognized at the time of the injury, and thewrist was treated for a sprain. The styloid process of the ulnawas fractured and displaced at the same time the scaphoid was frac-tured. Fractures of the scaphoid are very difficult to recognize byfluoroscopic examination, as the bone is generally broken obliquelyand the line of fracture is not clearly seen with the fluoroscope.The well-timed skiagraph will seldom, if ever, fail to reveal theseinjuries, no matter how slight the line of separation may be. X-RAY IN FRACTURES AND DISLOCATIONS 307 Some time ago a physician brought his daughter to the laboratorywith an injured wrist. After a careful and painstaking fluoro-scopic examination it was decided that the trouble was due to asprain. The author was not, however, satisfied with that diagnosisfrom the symptoms that she presented, and concluded to make askiagraph of the wrist. When the plate was developed it revealed. Fig. 136.—Fracture of the scaphoid. a clearly marked fracture of the scaphoid near its middle. Thisfact explained why her wrist had been so slow in recovering fromthe injury. Most delayed recoveries from injuries to the wrist aredue to fractures of one or more bones. Only by means of the skia-graph can these obscure injuries be revealed. The use of the 308 PRACTICAL ELECTRO-THERAPEUTICS AND X-RAY THERAPY fluoroscope should be discouraged, as it can not always be dependedupon, even in the hands of careful observers. Fig. 137 is a skiagraph of a normal hand and wrist of an adult.The epiphyseal unions are complete and the joints and bones are

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