Orthopedic and reconstruction surgery : industrial and civilian / by Fred H. Albee.
- Fred H. Albee
- Date:
- 1919
Licence: In copyright
Credit: Orthopedic and reconstruction surgery : industrial and civilian / by Fred H. Albee. Source: Wellcome Collection.
1072/1152 (page 1066)
![(c) The relation in size and position of the areas of loss in (a) and (b). (</) Dee]) sensibility, tested by deep pressure: the area of its loss. (e) The presence or absence of joint sense. (,/) The presence or absence of shooting pains and paresthesia: their distribution. Efferent changes. Fig. 785.—Same case shown in Fig. 782. Pattern of graft having been outlined in antero-internal surface of tibia, and its dimensions exactly determined by measurement with calipers, the graft is removed with the small single saw. (a) The determination of the presence or absence of voluntary contrac¬ tion of individual muscles: actually watching or feeling the suspected muscles contract or harden is a much less fallacious method than merely testing the power to perform specified movements of joints. (b) The determination of the presence or absence of involuntary contrac¬ tion of unstriped muscle, by noting such points as local cyanosis of a para¬ lyzed part, due to vasomotor paralysis; pupillary changes in lesions of the third](https://iiif.wellcomecollection.org/image/b29812100_1072.jp2/full/800%2C/0/default.jpg)