. Medical and surgical therapy. t of exit, four fingersbreadths from the dorsal border of the scapula, about 5 cm. from itsinferior angle. Penetrating wound of chest. Immediate and total ])aralysis of arm ; copious haemorrhage fromwoimd with secondary haemorrhage. On examination a year after injury-: there is paralysis of thesu])inator , radial extensors, extensors of fingers and thumb,and abductor longus ])ollicis. Paralysis of tlic h\q>othenar musclesand interossei. Partial ])aralysis of the biceps, flexor caqii ulnaris,and thenar muscles. Still slighter ])aralysis of deltoid, tric


. Medical and surgical therapy. t of exit, four fingersbreadths from the dorsal border of the scapula, about 5 cm. from itsinferior angle. Penetrating wound of chest. Immediate and total ])aralysis of arm ; copious haemorrhage fromwoimd with secondary haemorrhage. On examination a year after injury-: there is paralysis of thesu])inator , radial extensors, extensors of fingers and thumb,and abductor longus ])ollicis. Paralysis of tlic h\q>othenar musclesand interossei. Partial ])aralysis of the biceps, flexor caqii ulnaris,and thenar muscles. Still slighter ])aralysis of deltoid, triceps,palmars, flexor car|)i ulnaris, and of the su]ierficial and deep hypa>sthesia to all kinds of sensation in the musculo-cutaneousregion of the forearm and of ulnar in the hand. Slight disturbanceof sensation of touch, heat and cold in the median, internal CERVICAL AND BRACHIAL PLEXUSES 139 Upper plexus lesion NERVES. Nerve totrapezius. -Phrenic Serratus - - Teres major. Lower SEAT OF LESION inBRACHIAL PLEXUS. MUSCLES. Int. iTit. Trapezius f Levator anguli scapula;. O I KhomboideuB O k Supra- and infraspinatus OI Subclaviug.\.8ub8capulari8 sup. Clavicle. Pectoralis major Pectoralis minor. Deltoid o / Biceps ? Triceps. Anconeus., Supinator lonpus. Extensor carpi rad. long, et brev. Extensor communis. Extensor prop, indicis. Extensor minimi dig. Extensor longus et brevis pollicis. Adductor longus. Flexor ciirpi ulnaris (post.). Flexor carpi ulnaris (ant.). (Flexor profundus (3 and 4).Hyix) III. and IV. Adductor pollicis. Fia. 58,—Henry Meiges diagram. The black line shows probable seatof lesion. Muscles totally paralysed are marked 0, those partiallypar


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