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

TREATMENT. 297
tember, 1868. He lost but a few hours from his business
after the operation, and no time during recovery. Since
then he " has never known a second's pain." For two
months afterwards he had jio sensation in the uhiar distribution,
as he has repeatedly proved by sticking needles
into it. To relieve it,
he began to wear, a week after the
operation, a rough glove filled with hair, the pricking of
which during movements of the hand usefully irritated
the integuments. In about two months sensation had
begun to improve, and in three months his power to feel
was as good as now. Motion began to return at the
knuckles within a week, and gradually improved,
till in
three months it was perfectly restored. He took no medicine,
and had not the use of the battery.
Present condition, February 13, 1869.— Right arm, ten
and a half inches from acromion to head of radius; left
arm, eleven and a half inches from acromion to head of
radius; on right arm, ten cicatrices from abscesses, one of
them four and a half inches long, on the outer border of
the biceps, where the large piece of bone was removed;
head of humerus nearly, completely anchylosed to the
glenoid cavity, but can be moved slightly
in all directions
; elbow-joint anchylosed firmly at a right angle ;
external
and internal cond3'les both gone, and cicatrices over
each. Over the internal condyle, and extending upward
in the course of the ulnar nerve, is the incision made for
its removal. The radius has three-quarters
its natural
rotation. The muscles are much wasted in the arm and
forearm. What is left of the deltoid and biceps, say onethird,
is active the
; biceps acting only as a supinator. The
muscles in the forearm are wasted :
right forearm, three
inches below olecranon, nine inches; left forearm, three
inches below olecranon, ten and a half inches. He has
every movement of all the joints of the fingers, and every
movement is perfect in extent, but he has lost about one-
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