Menders of the Maimed the Anatomical Physiological Principles Underlying the

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n8 MENDERS OF THE MAIMED available blood channels, that they continue to grow in calibre until a sufficient blood supply is given to them.
We are still ignorant of the exact arrangement and distri- bution of the vaso-constrictor and vaso-dilator nerve fibres of the limb. A number of years ago Professor Wingate Todd's attention was drawn to this matter by one of those cases of cervical rib which was attended by a vaso-motor disturbance and by pain, due to pressure of the lowest brachial trunk ag
...ainst the abnormal rib. He observed that a strand of fibres from the sympathetic system joins the lowest trunk of the brachial plexus, and inferred that the pain and vascular symptoms were probably due to pressure on these vaso-motor fibres. A fuller account of observations by him and by his pupils will be found in the Anatomical Record, May 1914, and the Lancet, 10th August 1912. The median nerve in the upper extremity and the posterior tibial in the lower, are laden with vaso-motor fibres (unmyelinated) destined to re- gulate the blood supply to the palm and fingers in the one case, and to the sole and toes in the other.

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