File:Journal of roentgenology (1919) (14757411055).jpg

Identifier: journalofroentge2191west (find matches)
Title: Journal of roentgenology
Year: 1919 (1910s)
Authors: Western Roentgen Society
Subjects: Radiology
Publisher: Iowa City, Iowa : Western Roentgen Society, 1918-1919
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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n. Dr. Bundy Allen, of Iowa City, reports a case very sim-ilar to ours, in the Journal of Roentgenology for August,1918. I will mention here one difference, which the printsplainly show: that the upper portion of the humerus was,in our case, entirely destroyed, save the articular surfaceof the head; while in Doctor Allens case the distorted out-line of the bone still shows. Patient—A boy of twelve; referred by Dr. H. A. Gray forexamination and treatment, August 14, 1919. There was a history of pain in the right shoulder, begin-ning in December, 1918, attributed to kind of work he hadbeen doing (husking corn). As it did not improve after a *Read before Lee County Medical Society at Ft. Madison. December 4, 1919.402 CASK REPORTS 403 month, a physician was consulted, who also took the condi-tion to be nothing serious, and treated locally by counter-irritation, hyperemia, etc. The pain was never severe, but was constant. In Feb-ruary, 1919, the arm near the shoulder began to enlarge and
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continued to do so until the roentgen treatments were start-ed, at which time the acromio-axillary circumference was1614 inches. (Plate one.) The patient weighed 721(> pounds; color, ashy; expressionpinched. Treatment was started at once, and continued at semi-weekly intervals until recently, using the intensive crossfiremethod. Up to this date (December 4) the patient has re-ceived in twenty-one treatments 1020 milliampere minutes. At the time of the ninth treatment (September 14, 1919)the circumference at the same point as first taken was 12inches (Second plate) and still remains at that. At this 404 THE JOURNAL OF ROENTGENOLOGY time, we suggested thai the patient return to Doctor Grayfor surgical treatment, but this was refused. The otherarm measures 1.014 inches. There is shortening of twoinches and no true articulation with the scapula, and whilethere is apparently a false joint between the proximal and

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