. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. n a thu-d set of these cases recoverynever takes place; muscular atrophy and contractures result. Thegalvanic and faradic contractility disappears from the muscle andnerve, and permanent atrophy and disability remain. In these casesthere is also retarded growth of the bone. In cases in which recoverydoes not seem possible. Encouraging results have been obtained bygrafting a preserved nerve trunk into a group of paralyzed muscles or INJURIES INFLICTED DURING BIRTH 227 the tendon of an effec
. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. n a thu-d set of these cases recoverynever takes place; muscular atrophy and contractures result. Thegalvanic and faradic contractility disappears from the muscle andnerve, and permanent atrophy and disability remain. In these casesthere is also retarded growth of the bone. In cases in which recoverydoes not seem possible. Encouraging results have been obtained bygrafting a preserved nerve trunk into a group of paralyzed muscles or INJURIES INFLICTED DURING BIRTH 227 the tendon of an effective group of muscles has been grafted into a setof paralyzed muscles, this giving support to bone and limbs. It maybe mentioned that in rare cases pressure of the forceps blade hascaused a paralysis of the hypoglossal nerve and consequent paralysisof one or other half of the tongue. Every time the infant nursesthere will be in such cases great difficulty in swallowing. The infantwill cough and become cyanosed. These infants must be nursedslowly or with a pipette until the tongue has recovered Fig. 37.—Torticollis originating in a traumatism at birth. Hematoma of the sterno- mastoid muscle. Hematoma of the Stemomastoid Muscle.—This affection is thedirect result of traumatism during delivery. As a rule it is seen incases of breech presentation in which traction has been exerted onthe after-coming head. Symptoms.—In the majority of the cases coming under my observa-tion tlie stemomastoid muscle of the right side was affected (Fig. 37).The infant holds the head on one side. The muscle of the affectedside is contracted, and the position of the head is that seen in hard nodule is felt along the inner border of the stemomastoidmuscle, about the junction of the lower third and upper two-thirds. 228 DISEASES OF THE NEWBORN The tumor is usually the size of a small hazelnut, but may be muchlarger. Manipulation causes pain. The skin over the tumor ismovable and
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