At the risk of appearing an arse by being completely wrong:-
X-rays were not invented when Colles described the fracture there are
therefore no true radiological features.
Abraham Colles
1773-1843
Professor of Anatomy and Surgery
Dublin
http://www.surgical-tutor.org.uk/default-home.htm?surgeons/colles.htm~right
For X-rays we need to turn to Roentgen
http://www.softcode.com/X_ray.html
who discovered the X-ray in 1895, 13 years after the death of Colles.
Simon
Simon Carley
SpR in Emergency Medicine
[log in to unmask]
Evidence based emergency medicine
http://www.bestbets.org
----- Original Message -----
From: "Rowley Cottingham" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, October 02, 2002 7:27 PM
Subject: Re: Bier's Block
> <Smiles indulgently> "Now class, Simon says he knows the answer! Go on,
> Simon, lets hear your news!"
>
> -----Original Message-----
> From: s.carley [mailto:[log in to unmask]]
> Sent: 02 October 2002 12:21
> To: rowley cottingham
> Subject: Re: Bier's Block
>
>
> >What radiological features did Colles describe?
>
> OOh OOh OOh I know, I know!!!!
>
> Simon
> (it's also one of my favourite questions)
>
> Simon Carley
> SpR in Emergency Medicine
> [log in to unmask]
> Evidence based emergency medicine
> http://www.bestbets.org
> ----- Original Message -----
> From: "Rowley Cottingham" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Wednesday, October 02, 2002 6:12 AM
> Subject: Re: Bier's Block
>
>
> > > Is anyone else out there using sedation [midazolam] for this? Our
> > > Biers tournequet passed away a couple of years ago and I got fed up
> > > with waiting for our business manager to stump up the cash to
> > > replace it. I've never been
> > > a big fan of the "haematoma block" having witnessed the orthopods
> > > [ab]using
> > > the technique in their torture chambers. I therefore extended the
> > > sedation
> > > policy we were already using for dislocated shoulders etc with
> advice
> > > re low
> > > incremental doses in the elderly, in resus, full monitoring etc. To
> date
> > > [touch wood] no problems, good results [orthos not moaning], and
> > > satisfied
> > > patients [SHO audit project earlier this year]
> > >
> > > Best wishes, Bill Bailey
> > >
> > Gosh, that takes me back to the bad old days when I was an A&E SHO in
> > a
> Kent town. I did my first reduction with some textbook
> > open using it like a recipe book. I used to use diazepam (Diazemuls
> > may
> just have come out) 15mg, because they remembered the
> > pain with 10mg and stopped breathing with 20!
> >
> > Which brings me on to two good questions for the SHOs. What
> > radiological
> features did Colles describe? and name the seven
> > features of a Colles fracture.
> >
> >
> > Best wishes,
> >
> >
> > Rowley Cottingham
> >
> > [log in to unmask]
> > http://www.emergencyunit.com
> >
>
|