. Medical and surgical therapy. Fig. 31.—Articulated supporting appliance, allowing angle of inclina-tion of hand on forearm to be varied (musculo-spiral paralysis,contracture of the flexors). (Henry Meige.) correct stiffness of the wrist by adding a sort of jointbetween the forearm splint and the palmar spoon,whereby the inclination of the hand can be graduatedand the hand can be maintained in the desired posi-tion (fig. 31). ORTHOPEDIC APPLIANCES 333 Another type of appliance consists of an aluminiumsplint applied by means of a leathern cuff to the dorsalsurface of the forearm. From the lowe
. Medical and surgical therapy. Fig. 31.—Articulated supporting appliance, allowing angle of inclina-tion of hand on forearm to be varied (musculo-spiral paralysis,contracture of the flexors). (Henry Meige.) correct stiffness of the wrist by adding a sort of jointbetween the forearm splint and the palmar spoon,whereby the inclination of the hand can be graduatedand the hand can be maintained in the desired posi-tion (fig. 31). ORTHOPEDIC APPLIANCES 333 Another type of appliance consists of an aluminiumsplint applied by means of a leathern cuff to the dorsalsurface of the forearm. From the lower part of thissplint four flat springs project, ending in rings,through which pass the first phalanges of the lastfour fingers. The rigidity of the springs is sufficient to correctthe wrist-drop, besides which it does not impede theaction of the flexors of the hand and fingers, so that. Fio. 32.—Spring appliance of Henry Meige, keeping the fingers and thehand horizontal (paralysis of the extensors of the wrist and fingers).The thumb is abducted by a ring of leather fixed to a spring catch. the patient is able to perform all the movements ofprehension (fig. 32). Henry Meige has designed a still more simpleand practical apparatus with a palmar button (figs. 33and 34). It consists of a metal splint, which is fastened to thelower third of the forearm by a leathern cuff. At thecarpal border of the splint is fixed a slightly bent ironwire ending in a padded button, which rests in thehollow of the hand. The iron wire is rigid enough to support the weightof the hand and to correct its tendency to drop ; iteven allows the patient to lift heavy weights withoutthe hand giving way, which is so troublesome inordinary movements. It also has the great advan-tage of allowing complete flexion of the fingers andadduction of the thumb. It can be made as resistant as desired, and is t
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Keywords: ., bookcentury1900, bookdecade1910, bookpub, booksubjecttherapeutics
