cles.

Calf muscles practically normal. In the anterior tibial and
peroneal groups the faradic irritability is much diminished,
that in the peroneus longus being the lowest of all.
Contraction can be induced in the extensor longus hallucis,
extensor longus digitorum, and peroneus brevis; but reaction is
doubtful in the case of the tibialis anticus and peroneus
longus.

With the galvanic current contraction is sluggish, and the
irritability diminished. No serious changes are present except
in the peroneus longus. ACC > KCC at 10 M. A.

(132) _Great sciatic._--_Entry_, at outer aspect of the thigh,
just above the centre; _exit_, at the junction of the inner and
posterior aspects of thigh, about 2 inches lower. The wound was
produced by a ricochet bullet, and beyond the perforation of
the sciatic nerve the femur was fractured obliquely (see plate
XVI.). Hyperaesthesia of the sole was noted early, and when I
saw the patient three months later, there was wasting of the
muscles of the leg, and foot-drop, although he walked with a
stick.

These symptoms persisted, and on his return to England an
exploration was made by Sir Thomas Smith, and the two fragments
of mantle seen in the skiagram were removed from the substance
of the sciatic nerve. Eight months after the injury, the
patient still walked with foot-drop; there was modified
sensation in the musculo-cutaneous area, and a feeling as if
the bones of the foot were uncovered when he walked. The
circumference of the affected leg was more than 1 inch less
than that of the sound one. Steady but slow improvement was
taking place.

(133) _Great sciatic_.--In a third patient with a buttock
track, the symptoms were identical with those observed in case
131. In this an exploration showed that the nerve had been
perforated. Although the symptoms were never so severe as in
No. 131, yet recovery was very much slower and less complete,
the muscular weakness remained more marked, and the skin
exhibited more evidence of trophic lesion. Some contracture of
the knee and rigid foot-drop took place, and at the end of
twelve months the patient walked poorly with a stick.
Improvement is, however, continuing.

(134) _Great sciatic_.--Wounded at Ladysmith. _Entry_,
immediately below le