. Medical and surgical therapy. roma ofattrition is the one most frequentlyseen. The lateral notch occursfairly often. Complete section, onthe contrary, is relatively rare, andonly occurs, according to Claude,Vigouroux and R. Dumas, in about22 out of every 100 cases. We shallthen proceed to describe four typesof accessory lesions:—4. Complete section with pseudo-continuity. Pierre Marie and Foix, Indications operatoires fournics parIexamen histologique des nerfs les^s parplaies de guerre, Presse medicale,Jan. 31, 1916. * Claude, Vigouroux and R. Dvimas, ifitude anatomique de cent casde lesions
. Medical and surgical therapy. roma ofattrition is the one most frequentlyseen. The lateral notch occursfairly often. Complete section, onthe contrary, is relatively rare, andonly occurs, according to Claude,Vigouroux and R. Dumas, in about22 out of every 100 cases. We shallthen proceed to describe four typesof accessory lesions:—4. Complete section with pseudo-continuity. Pierre Marie and Foix, Indications operatoires fournics parIexamen histologique des nerfs les^s parplaies de guerre, Presse medicale,Jan. 31, 1916. * Claude, Vigouroux and R. Dvimas, ifitude anatomique de cent casde lesions traumatiques des nerfs des membres, Presse medicale, March 3 M. and Mme. Dejerine and M. J. Mouzon, Les lesions des grostroncs nerveux par projectiles de guerre. Les differents syndromescliniques et les indications operatoires, Presse medicale, 10, July 8August 30, 1915. * Jourdan and Sicard, fitude et microscopique deslesions des nerfs par blessure de gxierre, Presse medicale, July 29, PLATE II Pseudo-neuroma of attrition. (After Pierre Marie and Foix.) At the lower part of the pseudo-neuroma there is a partial absence of myelin,but the arrangement of the fibres is preserved. LESIONS OF INJURED NERVES 239 5. Lateral pseudo-neu-roma with or without alateral notch. 6. Partial neuroma (in-tra- or juxta-nervous). 7. Simple nerve indura-tion. 1. Complete Section.—Assoon as the surgeon findsthe nerve-trunk in theoperation wound eitherabove or below the prob-able seat of the lesion,according to the course ofthe projectile, he will see byfollowing it up that in themajority of cases wherecomplete section has oc-curred it plunges sud-denly and at an angleinto the wound (PierreMarie and Foix). An ap-pearance such as this isstrongly in favour of com-plete nerve division. Infact, by following andfreeing the nerve it will befound to be severed, withboth ends separated, swollen,and more or less adherentto the surrounding fibro-sclerotic tissue (fi
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