. A treatise on nervous and mental diseases, for students and practitioners of medicine. Contracture of the hand in a case ofhemiplegia from hemorrhage into the in-ternal capsule. Dorsal view. Contracture of the hand in a case ofhemiplegia from hemorrhage into theinternal capsule. Palmar view. by careful examination to the pronounced degree in which the mus-cles are drawn into positions of great deformity, as in Figs. 97 and the condition is very marked there is no difficulty whateverin detecting it, but slight degrees of it require some care to elicit,and I have for years been in the
. A treatise on nervous and mental diseases, for students and practitioners of medicine. Contracture of the hand in a case ofhemiplegia from hemorrhage into the in-ternal capsule. Dorsal view. Contracture of the hand in a case ofhemiplegia from hemorrhage into theinternal capsule. Palmar view. by careful examination to the pronounced degree in which the mus-cles are drawn into positions of great deformity, as in Figs. 97 and the condition is very marked there is no difficulty whateverin detecting it, but slight degrees of it require some care to elicit,and I have for years been in the habit of employing the followingmethod in my clinics : We will suppose that the muscles which weare examining are those of the lower extremity. The patient isinstructed to extend the leg and then to give it up passively to theexaminer. Many uneducated people find it very hard to absolutelyremove their voluntary control of a set of muscles, and therefore theleg must be bent at the knee several times in order to determine thatthe patient has allowed it to extend and flex with perfect f
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