. The practice of medicine; a text-book for practitioners and students, with special reference to diagnosis and treatment . Fig. 158.—Position of Hands and Fingers in Ulnar Paralysis of Long Standing; Bird-claw Hand, Main en Griffe—{after Duchenne).A, A. Wound of the ulnar nerve. B,B,B,B,B. Ends of the metacarpal bones. D. Ten-dons of the sublimis digitorum. C. Muscles of the ball of the thumb. to a Standstill at either of these stages, or may involve the muscles ofthe shoulder, especially the deltoid, in which, indeed, it may begin, pref-erably in the right, passing thence to the scap


. The practice of medicine; a text-book for practitioners and students, with special reference to diagnosis and treatment . Fig. 158.—Position of Hands and Fingers in Ulnar Paralysis of Long Standing; Bird-claw Hand, Main en Griffe—{after Duchenne).A, A. Wound of the ulnar nerve. B,B,B,B,B. Ends of the metacarpal bones. D. Ten-dons of the sublimis digitorum. C. Muscles of the ball of the thumb. to a Standstill at either of these stages, or may involve the muscles ofthe shoulder, especially the deltoid, in which, indeed, it may begin, pref-erably in the right, passing thence to the scapular and trapezius muscles,the pectorals, the rhomboidei and latissimus dorsi, while a grotequenessof effect is often produced by reason of certain adjacent muscles retainingtheir natural size or being even seemingly hypertrophied. This is partic-ularly the case with the inferior part of the trapezius and platysma myoideswhich are almost never involved. The disease may be arrested at almostany of these stages. The lower extremities may escape altogether and the atrophy hereusually develops late. The small muscles


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