Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . Fig. 46.—Bilateral Obstetric Brachial Paralysis (same as ), six weeks later. Considerably improved. (Sheffield.) , the deltoid, biceps, brachialis anticus, infraspinatus, supinatorlongus and the supinator brevis. The arm (rarely both sides [see Fig. 45] are affected—fromreckless instrumental manipulations) hangs motionless, theupper arm is rotated inward, the forearm is pronated, and thepalm of the hand is turned backward and outward. The wrist-and finger
Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . Fig. 46.—Bilateral Obstetric Brachial Paralysis (same as ), six weeks later. Considerably improved. (Sheffield.) , the deltoid, biceps, brachialis anticus, infraspinatus, supinatorlongus and the supinator brevis. The arm (rarely both sides [see Fig. 45] are affected—fromreckless instrumental manipulations) hangs motionless, theupper arm is rotated inward, the forearm is pronated, and thepalm of the hand is turned backward and outward. The wrist-and finger-joints are usually only slightly affected; sensibility isintact and electrical reaction diminished or lost. Usuallyunilateral. 164 BIRTH INJURIES. Recovery is the rule in mild cases. Those lasting over threeTrophic months show trophic changes in the affected muscles, especiallychanges. t|ie deltoid. The prognosis in cases of brachial paralysis present-ing reaction of degeneration is doubtful. After keeping the affected arm perfectly at rest for two. Fi* 47.—Obstetric Brachial Paralysis. Erbs upper arm to respond to treatment. (Sheffield.) Electricity and massage. weeks the faradic or galvanic current should then be applieddaily, for about five minutes at a time, until muscular power hasbeen restored. Gentle massage and passive motion are veryuseful as a prophylactic against atrophy and contractures. Incomplete rupture of one or more cords of the brachial plexus,nerve end to end anastomosis and tendon transplantation arethe only curative means at our command. CHAPTER of the Newly Born. FEEBLE VITALITY OF THE NEWLY BORN. The physician is often confronted by a group of clinicalphenomena in the newly born which may briefly be designatedfeeble vitality. It is a clinical entity which, though greatly atvariance as to cause and ultimate course, at birth presents a uni-form symptom-complex and demands a more or less uniformmode of treatment. It is character
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191
