. Medical and surgical therapy. thumb and the thenar muscles were more slightly affected. Fig. 57 shows the probable localisation of the lesion in view ofthe course taken by the bullet and the clinical signs. Case II.—Rifle bullet wound: point of entry just above the middlepart of the right clavicle (fracture), three fingers breadths to theright of the sternal head of the sterno-cleido-mastoid; point ofexit, behind through the middle of the infraspinous fossa at threefingers breadths above the inferior angle of the scapula. Imme-diate paralysis. Total paralysis of the musculo-spiral, circumfle
. Medical and surgical therapy. thumb and the thenar muscles were more slightly affected. Fig. 57 shows the probable localisation of the lesion in view ofthe course taken by the bullet and the clinical signs. Case II.—Rifle bullet wound: point of entry just above the middlepart of the right clavicle (fracture), three fingers breadths to theright of the sternal head of the sterno-cleido-mastoid; point ofexit, behind through the middle of the infraspinous fossa at threefingers breadths above the inferior angle of the scapula. Imme-diate paralysis. Total paralysis of the musculo-spiral, circumflex,ulnar and internal cutaneous nerves. Partial paralysis of theflexor muscles of the fingers and thenar muscles. Paresis of thepalmars and pronator radii teres, biceps, and brachialis phenomena in the median area. Sensory disturbances in themusculo-spiral, ulnar and internal cutaneous regions. CERVICAL AND BRACHIAL PLEXUSES 137 NERVES. Nerve totrapezius. Nerves ,,, , scapular Middle plexus muscles, LOCALISATION of LESIONSIN BRACHIAL PLEXUS. MUSCLES. Trapezius. (Levator nnguli Rhomboideus Supra- and infraspinatusSuDclavius.^Hubscapularig sup. Clavicle. Pectoralis majorInt. ant. thor. Pectoralis minor Phrenic. -Serratusmag. - - Latis. dorsi. -Teres major •Lower subscapular. Deltoid O Biceps O toraco-brachialls O Bracbialis anticus O Pronator radii teres — Flexor carpi radialis — Palmaris longua —Flexor sublirais profundus U and 2).Pronator orevis brevis and II. Lumbricales. Triceps. Anconeus. O Supinator longus OExt. carpi rad. long, et brev. O Kxtensor commun. O Extensor prop, indicis O Extensor minimi dig. OExtensor long, etbrev. poll. O Adductor longus carpi ulnarisFlexor carpi profundus (3 and 4). III. andIV. pollicis. Fig. 57.—H
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Keywords: ., bookcentury1900, bookdecade1910, bookpub, booksubjecttherapeutics
