. Medical and surgical therapy. (May 1915). Loss ofpower is not complete, the paresis is most marked in the hand (August1916). C. Contracture of the flexors of the hand with hypo- TONUS OF THE EXTENSORS AND SUBLUXATION OF THE WRIST.— This shows the deformity known as accoucheurs hand with crowd-ing of the fingers. The phenomena developed progressively afterperforation of the forearm by a bullet, at the junction of the lowerand middle third, complicated by fracture of the ulna (August 1914).The wound suppurated for three weeks, and immobilisation in aplaster apparatus lasted twenty-five days. T
. Medical and surgical therapy. (May 1915). Loss ofpower is not complete, the paresis is most marked in the hand (August1916). C. Contracture of the flexors of the hand with hypo- TONUS OF THE EXTENSORS AND SUBLUXATION OF THE WRIST.— This shows the deformity known as accoucheurs hand with crowd-ing of the fingers. The phenomena developed progressively afterperforation of the forearm by a bullet, at the junction of the lowerand middle third, complicated by fracture of the ulna (August 1914).The wound suppurated for three weeks, and immobilisation in aplaster apparatus lasted twenty-five days. The loss of power is not complete (April 1916), the patient beingable to carry out slight movements of flexion of the wrist; theaffected limb shows tremor during an effort. The hypotonus isso marked that the hand can be applied to the anterior surface ofthe forearm {v. Fig. 7, p. 523). There is also slight hypothermiaof the hand, atrophy of the fingers and mechanical excitability ofthe biceps and supinator longus. 524 PLATE IV.
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