. Annals of surgery . r;iy showing atrophy of dcstr HENRY H. M. LYLE. 818 TREATMENT OF DISABILITIES OF THE HAND in depth when the hand is used, due to the flexibihty palnnvard of the fourthand tifth metacarpals. The arches of the hand are not to lie considered as mere bonv frameworks,but as hving, functionating, structures composed of hones, joints and hgaments,the functional integrity of the whole depending on a healthy musculature. Theintrinsic muscles of the hand play a most important part in maintaining thisintegrity. In extension the fingers spread out like a fan, in flexion they con-verg
. Annals of surgery . r;iy showing atrophy of dcstr HENRY H. M. LYLE. 818 TREATMENT OF DISABILITIES OF THE HAND in depth when the hand is used, due to the flexibihty palnnvard of the fourthand tifth metacarpals. The arches of the hand are not to lie considered as mere bonv frameworks,but as hving, functionating, structures composed of hones, joints and hgaments,the functional integrity of the whole depending on a healthy musculature. Theintrinsic muscles of the hand play a most important part in maintaining thisintegrity. In extension the fingers spread out like a fan, in flexion they con-verge toward thepalm, the middlefinger alone flex-ing in the line ofits tip of thetluimb comes incontact with theother fingers, butfaces in an oppo-s i t c coiirdinatec- (1 n \- e r g i n gmovement is ab-solutely essentialto the delicateuse of the handand is impossibleunless the carpalarch is p re- , Fig. iD.—Ten months later. The result of treatment, a strong powerful grasp. served. In ex-amining cases of paralysis of the interossei fr
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
