Clinical tuberculosis . ;essusosusebrsealis XII M. tricepsbrachii M. teres major ^ M. rhoniboideus major simusdorsi Fascia lumbodorsalis(posterior layer) Fig. 63.—Showing superficial muscles of the neck and back (posterior view). Trapeziusof great diagnostic importance. A and B, portions of trapezius which show spasm anddegeneration best. (Spalteholtz.) Profuberantia occipitalis Processus spinosusvertebras cervicalis VII ^ M. seinispinalis capitis M. splenius capitis et cervicis, M. levator scapulae / M. rhomboideus minor/ . M. rhomboideus majorFascia infraspinatus. Processus spinosusvertebrse
Clinical tuberculosis . ;essusosusebrsealis XII M. tricepsbrachii M. teres major ^ M. rhoniboideus major simusdorsi Fascia lumbodorsalis(posterior layer) Fig. 63.—Showing superficial muscles of the neck and back (posterior view). Trapeziusof great diagnostic importance. A and B, portions of trapezius which show spasm anddegeneration best. (Spalteholtz.) Profuberantia occipitalis Processus spinosusvertebras cervicalis VII ^ M. seinispinalis capitis M. splenius capitis et cervicis, M. levator scapulae / M. rhomboideus minor/ . M. rhomboideus majorFascia infraspinatus. Processus spinosusvertebrse thoracalis VI M. latissimus m. teres M. teres ^Qorsi major minor tricepsachialis Fig. 64.—Showing the second layer of muscles of the back. Levator anguli scapuKe andrhomboidei of special diagnostic importance. (Spalteholtz.) OCCUPATIONAL CHANGES IN THORAX 333 (the side of the oldest lesion) far more than the other. The effecton the shoulder girdle is shown schematically in Fig. 90, page 422,and clinically in Figs. 95, A and B, page 466. Common Occupational Changes in the Soft Tissues of theThorax.—Inasmuch as the condition of the soft structures cover-ing the thorax offers important diagnostic signs in pulmonarytuberculosis, it is necessary that we familiarize ourselves withthose things which cause a departure from the normal. Thediscussion of the pathological variations from the normal will befound elsewhere in these pages. In my study of the reflex spasmand degeneration of the muscles, and the degeneration of othersoft tissues, caused by inflammatory
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