Nervous and mental diseases . d. In neuritic casesthere is often complaint of constant pain in the wrist and carpal joints,which may be slightly swollen. It is particularly in the treatment of dropped wrist that the greatvalue of maintaining a proper position of the articulations may be em-phasized. The tendency to carry the arm in a flexed attitude and theunopposed action of the flexors and pronators of the wrist give thecarpal articulations a vicious position that is often difficult to overcome,and upon convalescence mechanically defeats the returning strength ofthe extensors. The use of a c
Nervous and mental diseases . d. In neuritic casesthere is often complaint of constant pain in the wrist and carpal joints,which may be slightly swollen. It is particularly in the treatment of dropped wrist that the greatvalue of maintaining a proper position of the articulations may be em-phasized. The tendency to carry the arm in a flexed attitude and theunopposed action of the flexors and pronators of the wrist give thecarpal articulations a vicious position that is often difficult to overcome,and upon convalescence mechanically defeats the returning strength ofthe extensors. The use of a carefully padded and loosely applied ante-rior splint to maintain the wrist and fingers in line with the forearmhastens recovery in recent and in protracted cases. The median nerve, originating in the sixth, seventh, eighth cer-vical and the first dorsal nerves, arises in front of the axillary artery byroots from the outer and inner cords of the brachial plexus. It follows the 300 DISEASES OF SPINAL MENINGES AND SPINAL Fig. 106.—^Distribution of sensorynerves on the backs of the , Musculospiral nerve; u, ulnarnerve; m, median nerve (Krause). brachial artery to the bend of the elbow, but gives off no branches above that joint. It supplies all the flexors on thefront of the forearm except the flexor carpiulnaris and the ulnar portion of the deepflexor of the fingers. It also supplies bothpronators. In the hand it supplies theabductor, opponens, and short flexor of thethumb, and the first and second lumbricalmuscles. These, like the interossei, areaccessory to the flexors of the fingers formotions of flexion at the first joints, but areaids to the common extensor for extensionof the second and third phalanges. Thecutaneous distribution is subject to the dif-ferences pointed out above. In a generalway we may say that the median supplies theradial half of the hand on the palmar sideand the tips of the index and middle fingers on the dorsal aspects. Themedian is ra
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Keywords: ., bookcentury1900, booksubjectmentalillness, booksubjectnervoussys
