. Annals of surgery . mastoid muscle, just outside of the carotidsheath. This wound was enlarged through the sterno-mastoid muscleand after considerable difficulty and deep retraction there was found acomplete severance of the right fourth and fifth cervical nerves. () This wound was so close to the vertebra that the periosteum fromthe right lateral process of the fourth cervical vertebra was chipped cut ends of both nerves were approximated by two interruptedsutures of fine silk and the wound closed without drainage. Patient madean uninterrupted convalescence, and was in the hosp


. Annals of surgery . mastoid muscle, just outside of the carotidsheath. This wound was enlarged through the sterno-mastoid muscleand after considerable difficulty and deep retraction there was found acomplete severance of the right fourth and fifth cervical nerves. () This wound was so close to the vertebra that the periosteum fromthe right lateral process of the fourth cervical vertebra was chipped cut ends of both nerves were approximated by two interruptedsutures of fine silk and the wound closed without drainage. Patient madean uninterrupted convalescence, and was in the hospital twenty-six days. Condition six months later; examination by Dr. M. A. Burns,December 29, 1922. Motor Phenomena.—Patient has a partial palsy of upper right ex-tremity. Grip good, unable to abduct arm very well, seems to annoy himat shoulder joint. Able to adduct very well and seems to have con-siderable power performing this movement; unable to flex forearm 403 23^ 5 -S <-i 2-1 ?V^ -^,-^^^tS^^- ssi I ;3S. 1^ i<^


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885