Lectures on nervous diseases from the standpoint of cerebral and spinal localization, and the later methods employed in the diagnosis and treatment of these affections . Fig. 45.—Median Paralysis. while the other two rows of phalanges are flexed by the common flexormuscles of the fingers (the interossei and lumbricales being no longerable to flex the first row of phalanges, or to extend the two other rows).This same condition of the hand may, however, be produced by a con-dition of progressive muscular atrophy of these muscles. It must l)e remembered that this condition, if dependent upon ulna


Lectures on nervous diseases from the standpoint of cerebral and spinal localization, and the later methods employed in the diagnosis and treatment of these affections . Fig. 45.—Median Paralysis. while the other two rows of phalanges are flexed by the common flexormuscles of the fingers (the interossei and lumbricales being no longerable to flex the first row of phalanges, or to extend the two other rows).This same condition of the hand may, however, be produced by a con-dition of progressive muscular atrophy of these muscles. It must l)e remembered that this condition, if dependent upon ulnarparalysis alone, is more marked in the two inner fingers than in the threeouter, since the lumbricales are supplied in part by the median clinical fact seems to stamp the action of the lumbricales as similarto that of the interossei. Finally, the efiects of idnnr paralysis may bemanifested in the movements of the thumb, since it supplies two muscleswhich control it. This will be most apparent when the patient is re-quested to press the thumb forcibly against the metacarpal bone of theindex finger, or to adduct the thumb. THE HAND, AS AN AID IN DIAGN


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Keywords: ., bookcentury1800, bookdecade1880, bookidlecturesonne, bookyear1888