A System of Practical Medicine volume 4

Cover A System of Practical Medicine volume 4
A System of Practical Medicine volume 4
Pepper, William, 1843-1898
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* Loc. Cil. , Appendix.
1 This conviction is fully expressed by Hammond, loc. Cit. * Archiv der Utiilkundc.
570 PSEUDO-HYPERTROPHIC PARALYSIS.
of the deltoid in a boy of thirteen, 1 and made on it, with Billroth, the first microscopic examination of the diseased muscles. Duchenne, to avoid an operation not devoid of danger for the patient, devised his har- poon, by means of which small fragments of muscles could be torn away. AS this instrument is liable to change the relations of the parts sep
...arated by tearing, Leech has contrived another, in which the fragment is removed by cutting. By one method or another of harpooning the muscular lesions have been studied during life by Duchenne, Heller, "NVernich, Russel, Eulenburg, Martini, Knoll, Rakowac, Fricdreich, Ross, Gowers, Auerbach, Hammond, Pepper, in the cases already quoted.
Muscular Fibre. There are contradictory opinions in regard to the first stage of alteration in the muscular fibres. According to most observers, the fibres are seen to directly atrophy ; the transverse stria} become dim and gradually disappear, and the primitive bundles shrink in diameter from loss of some of their fibrillse (Brieger, Hammond, Pepper).


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