Medical and surgical therapy . Fm. 47.—Same appliance fitted on. especially indicated in cases where there is extremetenderness or a painful wound of the calf. Appliances for Paralysis of the Median Appliances of this kind are far less can be explained by the fact that paralysis ofthe median involves a far less noticeable deformitythan does paralysis of the musculo-spiral, the lesiononly becoming noticeable when the patient tries toperform movements of grasping. 344 TREATMENT AND REPAIR OF NERVE LESIONS In order to remedy this inability to oppose thethumb to the fingers, J. Frome
Medical and surgical therapy . Fm. 47.—Same appliance fitted on. especially indicated in cases where there is extremetenderness or a painful wound of the calf. Appliances for Paralysis of the Median Appliances of this kind are far less can be explained by the fact that paralysis ofthe median involves a far less noticeable deformitythan does paralysis of the musculo-spiral, the lesiononly becoming noticeable when the patient tries toperform movements of grasping. 344 TREATMENT AND REPAIR OF NERVE LESIONS In order to remedy this inability to oppose thethumb to the fingers, J. Froment and Wehrlin ^ have. Fig. 48.—Appliance of Froment and Wehrlin. Semi-diagrammaticdrawing. The position of the dorsal spring on the forearm hasbeen slightly lowered for it to be visible in this position of the handand give a view of the mechanism as a whol-e. devised the following appliance, which fulfils itspurpose well and is simple in construction. It consists of a leather cuff round the wrist and of a ring worn round thethumb. The ring isconnected ^ith the cuffby two springs, one ofwhich is inserted onthe outer border of themetacarpo-phalangealjoint of the thumb, andis directed towards thepisiform bone, beingattached to the cuff atthe inner border of thewrist. This spring isintended to replace theparalysed opposingmuscle, and should bewell on the second spring is attached to the ring on the dorsalaspect of the metacarpo-phalangeal joint and to thecuff on the dorsal aspect of the wrist in the neighbour-hood of the posterior border of the radius. This spring 1 Revue Neurologique, November-Dec
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
