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Updated: June 21, 2025


The displacement of the scapula is not so marked as in the preceding type, and the patient is able to perform pushing movements below the level of the shoulder. If the reaction of degeneration develops, an operation may be performed, the ends of the nerve being sutured, or the distal end grafted into the posterior cord of the brachial plexus.

The distal end of the ureter was ligated, and the proximal end implanted in the bladder according to Van Hook's method, which consists in tying the lowered end of the ureter, then making a slit into it, and invaginating the upper end into the lower through this slit. A perfect cure followed. Similar cases have been reported by Kelly, Krug, and Bache Emmet.

In the rare cases in which the skin of the greater part of the body is affected, the nodules rarely appear below the level of the deltoid or the middle third of the thigh, the patient dying before the spread can reach the distal portions of the limbs.

The defect is at the distal end of the combination i.e., in the physical, somatic or bodily part of the process to express the same idea by the use of different terms. The consideration of conditions of defect or pathological states may make normal psychological and physiological ones clearer, as has been shown by the above illustrations.

The letters have the same signification in all the figures. Il., Ilium; a. anterior end; b. posterior end; Ia. ischium; Pb., pubis; T, tibia; F, fibula; As., astragalus; Ca., calcaneum; I, distal portion of the tarsus; i., ii., iii., iv., metatarsal bones.

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