. Medical and surgical therapy. Fig. 26.—Painful type of wounds ofthe median nerve; condition ofhand twenty months after ankylosis and deformityof the terminal phalanges andnails. iJj;:..!ag:H:-:::r::gi^gsN5^!gi. Fig. 27.—Aspect of the handin the painful type of wovmdsof the median nerve, showingdeformity of fingers and of wrist in hyper-flexion. The skin is finer ; the epidermic elevations havingdisappeared, the deeper layers appear shrunk ; theskin becomes more and more creased and wrinkledon the palm of the hand, but stretched over the dorsalaspect of the finge
. Medical and surgical therapy. Fig. 26.—Painful type of wounds ofthe median nerve; condition ofhand twenty months after ankylosis and deformityof the terminal phalanges andnails. iJj;:..!ag:H:-:::r::gi^gsN5^!gi. Fig. 27.—Aspect of the handin the painful type of wovmdsof the median nerve, showingdeformity of fingers and of wrist in hyper-flexion. The skin is finer ; the epidermic elevations havingdisappeared, the deeper layers appear shrunk ; theskin becomes more and more creased and wrinkledon the palm of the hand, but stretched over the dorsalaspect of the fingers. It is red and blotchy in places,especially at the base of the first three fingers. Some-times, though this is rare, there is a hyperkeratosis ofthe palm at the base of the fingers, which becomeincreasingly thinner and more tapering. The nails are bulging, thickened, and streaked withtransverse or longitudinal striae. Sometimes they grow 78 CLINICAL FORMS OF NERVE LESIONS out of all proportion and 3urve inward ; the skin ofthe nail bed grows up and attaches itself to the nail,which, as it grows, drags it along with it and causesstill more pain (fig. 29). The tips of the fingersbecome swollen and show slight clubbi
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Keywords: ., bookcentury1900, bookdecade1910, bookpub, booksubjecttherapeutics
