Medical and surgical therapy . adii teres, and flexor carpi radialis; the flexor muscles of the fingersand thumb and the thenar muscles were more slightly affected. Fig. 57 shows the probable localisation of the lesion in view ofthe course taken by the bullet and the clinical signs. Case II.—Rifle bullet wound: point of entry just above the middlepart of the right clavicle (fracture), three fingers breadths to theright of the sternal head of the sterno-cleido-mastoid; point ofexit, behind through the middle of the infraspinous fossa at threefingers breadths above the inferior angle of the scap
Medical and surgical therapy . adii teres, and flexor carpi radialis; the flexor muscles of the fingersand thumb and the thenar muscles were more slightly affected. Fig. 57 shows the probable localisation of the lesion in view ofthe course taken by the bullet and the clinical signs. Case II.—Rifle bullet wound: point of entry just above the middlepart of the right clavicle (fracture), three fingers breadths to theright of the sternal head of the sterno-cleido-mastoid; point ofexit, behind through the middle of the infraspinous fossa at threefingers breadths above the inferior angle of the scapula. Imme-diate paralysis. Total paralysis of the musculo-spiral, circumflex,ulnar and internal cutaneous nerves. Partial paralysis of theflexor muscles of the fingers and thenar muscles. Paresis of thepalmars and pronator radii teres, biceps, and brachialis phenomena in the median area. Sensory disturbances in themusculo-spiral, ulnar and internal cutaneous regions. CERVICAL AND BRACHIAL PLEXUSES 137 LOCALISATION of LESIONSIN BRACHIAL PLEXUS. MUSCLES. Trapezius. Levator anguli /LevaRhor I Sr—Si Supra- and sup. Clavicle. I Pectoralis major Iectoralis minor 1 Deltoid f Biceps J Coraco-brachialis I Brachialis anticus f Pionator radii teres Flexor carpi radialis Palmaris longus Flexor sublimis dig. Flexor profundus (1 and 2). Pronator quadratus. Abductor brevis poUicis. Flexor brevis pollicis. Opponens and II. Lumbricales., Triceps. Supinator longus Phrenic. -Serratusmag. —-^ Latis. dorsi. -Teres major -Lower subscapular. I Ext. carpi rad. long, et brev. OI Extensor commun. O < Extensor piop. indicis O I Extensor minimi dig. O I Extensor long, et brev. poll. OI Adductor longus poll. O Extensor carpi ulnaris O ( Flexor carpi Flexor profundus (3 and 4).J Interossei. I III. and IV. Lumbricales.\ Adductor pollicis. Fig. 57.—Henry Meiges diagram
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
