edian and ulnar nerves, and
complete obliteration of the radial pulse. A year later the
musculo-spiral paralysis still persisted.
(124) _Musculo-spiral and median._--Wounded at Magersfontein.
_Entry_, 3 inches below the anterior axillary fold, on the
inner aspect of the arm; track passed obliquely downwards
behind the humerus to a point on the outer aspect of the arm
1-1/2 inch below the level of the entry. The humerus escaped
injury. Musculo-spiral paralysis was complete; hyperaesthesia in
the distribution of the median followed some days later. One
month subsequently radial sensation had returned, and a feeling
of numbness had taken the place of the median hyperaesthesia.
The triceps and marginal muscles were much wasted, and only
interosseous extension was possible in the fingers.
(125) _Brachial nerves._--Wounded at Magersfontein. _Entry_ and
_exit_, in the upper third of the arm internal to the humerus.
Complete median paralysis, anaesthesia in the ulnar area, and in
the radial supply to the dorsum of the middle and ring fingers.
Could flex, extend, and adduct and abduct the wrist; some power
of flexion in index finger, in others none. The flexion of the
wrist was dependent on the ulnar supply to the muscles of the
forearm. No wasting of the interossei, skin normal except for a
large trophic blister on the dorsum of the hand. Little
improvement had taken place in this patient at the end of a
year.
(126) _Brachial nerves._--Wounded at Magersfontein. The wound
traversed the lower part of the upper third of the arm,
fracturing the humerus. Immediate complete loss of power in the
arm was experienced, together with loss of all sensation. Three
weeks later the humerus was united; the fracture was evidently
the result of passing contact, and not of direct impact. The
paralysis was still complete in the distribution of the median,
ulnar, and musculo-spiral nerves. There was considerable
wasting of the hand and forearm, and a good deal of thickening
in the lower third of the arm.
Four months after the original injury, the nerves were explored
by Mr. Eve, who kindly gives me the following information. All
the nerves and vessels of the arm were united into one firm
bundle by cicatricial tissue. When dissected clear, the median
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