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February 1920

PRACTICAL CONSIDERATIONS IN THE DIAGNOSIS OF PERIPHERAL NERVE INJURIES, WITH SPECIAL REFERENCE TO COMPENSATORY MOVEMENTS

Author Affiliations

PHILADELPHIA

Arch NeurPsych. 1920;3(2):107-123. doi:10.1001/archneurpsyc.1920.02180140002001

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Abstract

I. Introduction.

II. Factors Concerned in the Diagnosis of Peripheral Nerve Lesions.

A. Slight Motor Function Distinguished from Complete Paralysis.

B. Relative Value of Various Observations.

1. Trophic Phenomena.

2. Electrical Reactions.

3. Sensory Changes.

4. Motor Loss.

(a) Tendon Palpation.

(b) Observations of the Muscle.

(c) Joint Action.

III. Production of Compensatory Movements.

A. Compensatory Movements Produced by Momentum.

B. Gravity as a Factor.

C. Relaxation of Functioning Muscles.

D. Contraction of Nonparalyzed Muscles.

E. Elimination of Compensatory Movements by Proper Methods of Examination.

IV. Lesions of Individual Nerves Considered in Reference to Compensatory Movements and Other Phenomena.

A. Circumflex Nerve Lesions.

B. Musculocutaneous Nerve Lesions.

C. Musculospiral Nerve Lesions.

D. Median Nerve Lesions.

E. Ulnar Nerve Lesions.

F. Ulnar Combined with Median Nerve Lesions.

G. Sciatic Nerve Lesions.

H. External Popliteal Nerve Lesions.

I. Internal Popliteal Nerve Lesions.

V. Conclusion.

I. INTRODUCTION  During the year of its active

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