Nervous and mental diseases . radually develop, appearing very insidiously and requiring many monthsfor its complete evolution. The striking peculiarity of the atrophy isthat it is usually, and at first always, confined to the extensors of thejoint, and involves them in their entire length. The only exception isin arthritis of the ankle-joint, in which case the calf-muscles of the shoulder affects the deltoid, of the elbow the triceps, ofthe wrist the extensors, of the fingers the interossei, of the hip the glutei,of the knee the anterior crural muscles, of the ankle the calf-m
Nervous and mental diseases . radually develop, appearing very insidiously and requiring many monthsfor its complete evolution. The striking peculiarity of the atrophy isthat it is usually, and at first always, confined to the extensors of thejoint, and involves them in their entire length. The only exception isin arthritis of the ankle-joint, in which case the calf-muscles of the shoulder affects the deltoid, of the elbow the triceps, ofthe wrist the extensors, of the fingers the interossei, of the hip the glutei,of the knee the anterior crural muscles, of the ankle the calf-muscles,of the toes the interossei of the foot. When the flexors are also involved,they suffer to a less degree. Sensory disturbances are absent, or aresuch as are referable to the arthritis. In occasional instances the joint-inflammation also affects the nerve-trunks in its neighborhood, and aneuritis is added, with symptoms below the joints. The wasting in-volves the affected muscles uniformly from end to end, and there is a.
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