I. A bullet in the popliteal space. II. A case of dilated esophagus : two cases showing the value of the X-rays and at the same time that in the first case they were misleading / by W.W. Keen.

  • Keen, William W. (William Williams), 1837-1932.
Date:
1900
Catalogue details

Licence: In copyright

Credit: I. A bullet in the popliteal space. II. A case of dilated esophagus : two cases showing the value of the X-rays and at the same time that in the first case they were misleading / by W.W. Keen. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    6 o [Reprinted from the Special X-Ray Number of Tiik Philadelphia Medical Journal, January 6, 1900.] I. A BULLET IN THE POPLITEAL SPACE. H. A CASE OF DILATED ESOPHAGUS.—TWO CASES SHOW- ING THE VALUE OF THE X-RAYS AND AT THE SAME TIME THAT IN THE FIRST CASE THEY WERE MISLEADING. By W. W. keen, M.D., LL.D., of Philadelphia. Professor of the Principles of Surgery and of Clinical Surgery, Jefferson Medical College. Case 1.—W. G. S., 22 years of age, was admitted to the Jefferson Medical College Hospital October 30, 1899. On March 25, 1899, in a skirmish in Manila, a 45-caliber Rem- ington ball passed through the right thigh; struck the inside of the left knee just above the line of the joint, and was buried in the tissues. Six weeks later he was able to be on crutches, but sutfered a great deal of pain. Flexion was not limited, but the leg could not be extended to an angle of more than 45°, until lately, when the extension has somewhat increased. The patient brought with him a skiagraph (Fig. 1) taken, August 18,1899, by E. W. Ames, A. A. Surgeon U. S. Army, at the Presidio, San Francisco. This skiagraph shows the bullet very distinctly posterior to the head of the tibia. It is not, apparently, imbedded in the bone. A skiagraph taken by Mr. Prince in the Jeffer- son Hospital, on his admission, confirmed this finding. Dr. Sweet, who located the ball exactly by this skia- graph, has kindly furnished me with the following description of the application of his localizing appa- ratus and, as will be seen, his location of the bullet was exact both as to position and depth. The essential features of this apparatus and the method of employing it are shown in the illustration, Fig. 2.^ An ' From DaCosta’s “Manual of Surgery.’’