Injuries of nerves and their consequences - Reflex Sympathetic ...

296 INJURIES OF NERVES.
section of the ulnar nerve to the extent of two and one-half
inches ; recovery of motion almost j^crfect, of sensation very
great; entire relief from pain. Charles Kell}', aged forty,
examined February 13, 1869. At ten years of age, he
fractured his right humerus, and since then it has been
broken several times,— once with a firehorn, once with a
brick, once purposely broken across his leg by a surgeon,
once by a fall in a boat, etc. He is unable to specify the
particular points of fracture or their number. After the
iirst one, his elbow became anchylosed at a right angle,
and subsequently to several of the fractures, he had frequent
abscesses. In 1850, four inches of the humerus
were resected after one of his fractures.
In 1861, he broke his arm for the last time, but at what
point he cannot say, —a simple fracture, lie fell into a
boat, live or six feet, and struck on his elbow, probably
breakins: oft' the internal condvle. He felt the shock
in the "funny-bone" at the time. It was followed by
repeated abscesses, extending not only around the elbow,
but also about the shoulder-joint and arm, and resulting
in the discharge of various pieces of bone. The pain in
the ulnar nerve at the elbow was only temporary, but
repeated abscesses kept him at intervals for six years
under the doctor's care.
In August, 1868, pain returned violently
nerve at
in the ulnar
the seat of fracture, shooting into the hand, its
exact locality not being now definable. It was a burning
pain, and like " running a jagged piece of wood into the
hand." The fingers twitched and shook violently. The
pain was so severe that at each shoot "he jumped all
over." He could not sleep, and finally suffered so much
that he demanded amputation of the arm of several surgeons,
but was refused.
Dr. D. Haj-es Agnew removed two and one-half inches
of the ulnar nerve, just above the elbow-joint, in Sep-