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March 1949

PROGRESS IN ORTHOPEDIC SURGERY FOR 1946 A Review Prepared by an Editorial Board of the American Academy of Orthopaedic SurgeonsXII. CONDITIONS INVOLVING THE ELBOW, THE FOREARM, THE WRIST AND THE HAND

Author Affiliations


Arch Surg. 1949;58(3):372-399. doi:10.1001/archsurg.1949.01240030378012

Surgical Anatomy.  —Murphey, Kirklin and Finlayson559 reported a study of the anomalous innervation of the intrinsic muscles of the hand. They stressed the old conception that motion of a part is of little value in the evaluation of the function of the intrinsic muscles and that it is important that the belly of the muscle be palpated to determine function. The function of various muscles which are amenable to accurate testing is given, each muscle being considered individually. An extensive study of anomalous innervation is presented.Four cases were presented in which the first dorsal interosseous muscle was innervated by the median nerve. A total of 698 cases of ulnar nerve injury were encountered. An excellent and complete discussion of the anomalous cases is given which stresses the importance of testing the interosseous muscles of the hand in the accurate assessment of peripheral nerve injuries.A study of innervation

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