Modern surgery, general and operative . d extend at the proxi-mal joints. Walking is greatlyinterfered with. There is loss ofthe power of rotating the flexedleg inward, if the damage is abovethe branch to the popliteus mus-cle; and extension of the ankle-joint is lost. As the conse-quence, talipes calcaneus develops(Gowers). The anesthesia is vari-able, but usually involves the soleof the foot and the outer surfaceand lower portion of the back ofthe leg (Fig. 492). The Plantar Nerves.—Divisionof the internal plantar nerveparalyzes the short-toe flexor, thetwo inner lumbricales, and theplantar
Modern surgery, general and operative . d extend at the proxi-mal joints. Walking is greatlyinterfered with. There is loss ofthe power of rotating the flexedleg inward, if the damage is abovethe branch to the popliteus mus-cle; and extension of the ankle-joint is lost. As the conse-quence, talipes calcaneus develops(Gowers). The anesthesia is vari-able, but usually involves the soleof the foot and the outer surfaceand lower portion of the back ofthe leg (Fig. 492). The Plantar Nerves.—Divisionof the internal plantar nerveparalyzes the short-toe flexor, thetwo inner lumbricales, and theplantar muscles of the great toe,except the adductor (Gowers).There is anesthesia of the inner portion of the sole of the foot and of the plantar surface of the three inner toes and of half of the fourth toe (Fig. 492). Division of the external plantar nerve causes paralysis of the muscles of the little toe, of the adductor of the great toe, of all the interossei, of the two outer lumbricales, and of the flexor accessorius (Gowers). There is. Anterior surface. Posterior surface. Fig. 4g2.—Distribution of the cutaneous nerves ofthe lower extremity: ii, N. ilio-inguinal. (plex. lumb.);li, N. lumbo-inguinal. (to the genitocrural, plex. lum-bal.); se, N. spermat. ext. (to the genitocrural); cp,N. cutan. post. (plex. ischiad.); cl, N. cutan. lateral,(plex. lumb.); cr, N. cruralis (plex. lumbal.); obt, , (plex. Imnb.); sa, N. saphen. (plex. lum-bal.); cpe, N. commun. peron. (N. peron. tibial.); cli,N. commun. tibial; per, per, N. peronaei ram. su-perfic. et prof.; cpm, N. cutan. post. med. (); cpp, N. cut. plant, propr. (N. tib.); plm,pll, N. plantar, medial, et lateral. (N. tib.) (Henle). The Treatment After Division of Nerves 757 anesthesia of the skin of the outer half of the sole of the foot, of the little toe,and of half of the fourth toe (Fig. 492). The Facial Nerve.—This nerve may be divided during the mastoid opera-tion or may be lacerated by a fracture
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
