. Medical and surgical therapy. S Y MP TO MA TO LOG Y 527 previously described and from contractures of thelower limb, which are usuaUy very pronounced andrather difficult to reduce. In order to mark thisdistinction it may be justifiable to use the term hypertonus, which has also been employed bySicard, Meige, and P. Marie and Foix. Contractures of the hand of various types.—Con-tracture of the hand may also give rise to other de-formities, such as hyper extension and abduction of thefingers combined with flexion of the wrist or hand like acircumflex accent [v. PI. VII, p. o7-2), extension con

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. Medical and surgical therapy. S Y MP TO MA TO LOG Y 527 previously described and from contractures of thelower limb, which are usuaUy very pronounced andrather difficult to reduce. In order to mark thisdistinction it may be justifiable to use the term hypertonus, which has also been employed bySicard, Meige, and P. Marie and Foix. Contractures of the hand of various types.—Con-tracture of the hand may also give rise to other de-formities, such as hyper extension and abduction of thefingers combined with flexion of the wrist or hand like acircumflex accent [v. PI. VII, p. o7-2), extension con-tracture of the fingers and hand, and clawhand withcrowded fingers (the index and ring fingers lying on themiddle finger) {v. PL VI, p. 564). Hypotonic paralyses or pareses of the hand and fingers.—Simple paresis of the hand and fingers is not paralysis appears to be exceptional. In suchcases there is a contrast between the absolute or almostabsolute loss of power in the extremity and the relativefreedom of t

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