Medical and surgical therapy . of the wristmay be limited; at thesame time difficulty inflexing the phalanges oneach other is have just spokenof complete lesions ofthe median or of incom-plete painless in causalgic formsof wounds of this nervejoint affections reachquite unexpected pro-portions. We have dis-cussed these conditionsat length elsewhere.^ These manifestations affect the elbow joint (ankylosis in flexion), wrist joint (ankylosis in flexion), and especially the finger joints. The articulations most affected are the metacarpo-phalangeal and then the interphalan
Medical and surgical therapy . of the wristmay be limited; at thesame time difficulty inflexing the phalanges oneach other is have just spokenof complete lesions ofthe median or of incom-plete painless in causalgic formsof wounds of this nervejoint affections reachquite unexpected pro-portions. We have dis-cussed these conditionsat length elsewhere.^ These manifestations affect the elbow joint (ankylosis in flexion), wrist joint (ankylosis in flexion), and especially the finger joints. The articulations most affected are the metacarpo-phalangeal and then the interphalangeal. In the attenuated painful forms these last articulations are the only ones involved (figs. 54 and 55). In wounds of the ulnar we must distinguish between complete painless paralyses and incomplete paralyses which are more or less pain-ful. In the former, apart from the retractions found in ulnar claw-hand, joint affections are infrequent, except where the wound has suppurated for a long ^ Clinical Forms of Nerve Leaiov^.. ^IHiiiaJHiuiliiiii^-iK Fig. ~)o.—An appearance of thehand in the painful form ofwounds of the median of the fingers andnails. Ankylosis of the wristin hyperfiexion. 394 TREATMENT AND REPAIR OF NERVE LESIONS period, or where the lower end of the humerus hasbeen involved, with injury to the internal condyle. On the contrary, in incomplete lesions of the nervegiving rise to painful symptoms it is not rare to seemultiple articular rigidities arise in spite of earlymobilisation of the limb. These conditions affect the elbow and the wrist, butprincipally the metacarpo-phalangeal and the inter- phalangeal joints. In the course of severe lesionsof the great sciatic and of itsexternal branch of bifurcationthe external popliteal, ankylosisof the knee or ankle is hardlyever seen. It is only the phalangealjoints of the toes which maybe affected by a certain degreeof stiffness. But very mL^rked joint affec-tions are caused by incompletelesions of th
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
