Medical and surgical therapy . r Limb • Amyotrophic paralysis of the quadriceps.—This isthe classical form of reflex atrophy which generallyfollows a femoro-tibial arthritis, but it may also beobserved after wounds of the thigh or in the region ofthe knee in the absence of any lesion of ^the joint orpatellar tendon {v. Fig. 6). The atrophy is sometimesassociated with an obstinate paralysis of the quadriceps,and may be accompanied by extreme hypotonus{v. Fig. 15); usually, but not invariably, the kneejerk is exaggerated. Contracture of the pelvi-trochanteric muscles associatedwith paresis of th
Medical and surgical therapy . r Limb • Amyotrophic paralysis of the quadriceps.—This isthe classical form of reflex atrophy which generallyfollows a femoro-tibial arthritis, but it may also beobserved after wounds of the thigh or in the region ofthe knee in the absence of any lesion of ^the joint orpatellar tendon {v. Fig. 6). The atrophy is sometimesassociated with an obstinate paralysis of the quadriceps,and may be accompanied by extreme hypotonus{v. Fig. 15); usually, but not invariably, the kneejerk is exaggerated. Contracture of the pelvi-trochanteric muscles associatedwith paresis of the foot.—This variety of motor dis-turbance is almost always found after traumatism inthe region of the hip. In the dorsal decubitus thelower limb is in a position of very pronounced externalrotation; the outer border of the foot being in contact S Y MP TO MA TOLOG Y 519 with the surface of the bed, passive movements of thethigh are somewhat limited, especially movements ofinternal rotation, and pull the pelvis round more. Fig. 5.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
