File:Interstate medical journal (1909) (14781481864).jpg

Identifier: interstatemedica1619unse (find matches)
Title: Interstate medical journal
Year: 1909 (1900s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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ion. Crepitus could not be obtained. All movements of thewrist except the most limited were painful, the pain being referred tothe outer side of the wrist, while one-half inch above the radial styluswas a point of tenderness. It was this point of tenderness that sug-gested the advisability of an x-ray examination. LANGE: AUTOMOBILE FRACTURES 23 The skiagram revealed almost the identical conditions as outlined inCase 1. There was a line of fracture through the right radial stylusseparating a triangular piece of bone from the lower end of the radius,but the apposition was so perfect that the line of fracture was in places,indistinct, and it was only by the closest scrutiny of the x-ray plate, andcomparison with the uninjured wrist, that the presence of the fracturewas definitely determined. A lateral view showed no forward or back-ward displacement. Case 3.—Dr. C. R. H. While cranking his automobile was struck uponthe right palm by the recoiling crank-handle. The wrist became swollen,
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FIG. 1. Lateral and Antero-Posterior Views of the Automobile Fracture. all movements painful, with point of tenderness over the outer side ofthe radius, about one-half inch above the stylus. There was prac-tically no deformity. The skiagram showed a fracture of the radial stylus similar to Cases 1 and 2, with the exception that the broken fragment was of oblongshape rather than triangular. A lateral view showed practically nobackward displacement. Case 4.—Mr. H. D. B. This case was practically identical with Case 2 in etiology and x-ray findings. There are certain features connected with the above cited so-called automobile fractures, that distinguish them from the familiarColles fracture and put them in a class by themselves. 24 INTERSTATE MEDICAL JOURNAL The automobile fracture is produced by indirect trauma to the lowerend of the forearm, and because of the position assumed in cranking, thetrauma is always expended upon the outer side of the arm, namely uponthe radius. The rightinterstatemedica1619unse

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