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

TREATMENT. 307
gets cold very easily has no constant pain in it. The hair
;
has been reproduced on the back of the hand, even to
that of the fingers. ISTails normal. Second and third
phalanges a good deal wasted. Muscles of thumb a good
deal wasted (say two-thirds), except flexor brevis, which
is of nearly normal size.
Nutrition.— Eight biceps, eight and five-eighths inches ;
left, nine and one-eighth. Right forearm, three inches
below olecranon, eight and five-eighths inches; left, nine
and one-quarter.
Ilis nervousness is entirely gone, and lie is perfectly
well mentally.
Electro-muscular sensibility is greater in right than in
left arm throughout. Electro-muscular contractility very
markedly diminished in right arm from shoulder down
to hand. It is not more than one-half. He can use hishand
so as to handle a fork. Could use a knife, but wasalways
left-handed holds a book well
; ;
cannot write ;
can touch every finger-tip with thumb.
The temperature, taken April 20, 1867, was as follows:
fold between palm and thenar eminence the only placewhere
the thermometer-bulb could be held and covered
equally well by either hand. Hight, paralyzed side, 97^°^
Fahr.; left, sound side, 97J° Fahr.
Case 52.— Gunshot wound of right ivrist; sensation entire ;
loss of flexor power and general motor loss from long rest on
sjdint, adhesions, and want of proper treatment; great gahu
T. M., aged seventeen, no trade, 121st Pennsylvania Volunteers.
July 1, 1863, a ball entered the right wrist,,
three and a half inches above the styloid process of theradius,
and made exit one inch above styloid process of
ulna, breaking both bones, but injuring no large vessel.
The arm was on a splint for six weeks without change or
passive motion, during which time many fragments of
bone escaped. When admitted, the wrist was thickened