. A treatise on nervous and mental diseases, for students and practitioners of medicine. produces a condition to which the name has been given of^ape-hand (Affenhand). (Fig. 125.) At about the same time,sometimes a little sooner, sometimes a little later, the interossei areimplicated, as is to be seen from a sinking of the interosseousspaces on the back of the hand and from an incomplete exten-sion of the terminal phalanges; and when this atrophy has attainedto a certain grade, it produces, together with the contraction of theantfigonistic muscles, the so-called claw-hand (main-en-griffe—Klaue
. A treatise on nervous and mental diseases, for students and practitioners of medicine. produces a condition to which the name has been given of^ape-hand (Affenhand). (Fig. 125.) At about the same time,sometimes a little sooner, sometimes a little later, the interossei areimplicated, as is to be seen from a sinking of the interosseousspaces on the back of the hand and from an incomplete exten-sion of the terminal phalanges; and when this atrophy has attainedto a certain grade, it produces, together with the contraction of theantfigonistic muscles, the so-called claw-hand (main-en-griffe—Klauenhand). (Fig. 126.) Consecutively to the hand muscles,often after a long time—sometimes even after years—the forearmor uppei-arm muscles are usually attacked. In the forearm it isapt to be the abdiictoi and extensor pollicis longus, the supinators. 234 NEKVOUS DISEASES. and the flexors In the upper arm the deltoid is ahnost invariablythe first to waste, then the biceps, and finally the triceps last ofall. But sooner or later the muscles of the trunk may be implicated, Fig. Photograph of the ape-hand. especially the trapezius, the pectorals, the rhomboids, and the latis-simus dorsi. Atrophy is infrequent of the cervical or respiratorymuscles, or of the diaphragm. After many years of duration, the Fig. 126.
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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidtreatiseonnervou00gray
