It is my intention to discuss the subject entirely from its practical standpoint and to relate my personal experiences in dealing with the injuries of the median and ulnar nerves. These nerve trunks are most liable to be injured because of their exposed anatomic position on the arm; the most frequent result of violence applied directly to the nerve is complete division.
Functional disturbances following incised or lacerated wounds are too often overlooked and the symptoms attributed to shock. The degree of shock in such cases is not proportionate to the size of the wound or to the degree of nerve injury. The pain following the most trifling cut will often cause extreme depression. The injured person, who already is suffering pain and is in a state of nervous expectation and dread of more pain to be caused by the stitching, is thereby frequently placed in a condition of greater
EADS BB. OPERATIONS FOR INJURIES TO THE MEDIAN AND ULNAR NERVES.. JAMA. 1900;XXXVI(13):862-867. doi:10.1001/jama.1900.52470130010002b