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Updated: May 11, 2025
Careful discrimination should be employed in selecting cases for neurectomy for this operation; otherwise, it is very likely to prove disappointing. Open Sheath of the Flexors of the Phalanges.
The waving pikes of phalanges told of more Africans who seemed to lie in echelon beyond, while far away, toward the low hills overgrown with copsewood that formed the eastern horizon, clouds of swift-moving dust, amid which shadows darted hither and thither at seeming random, marked the presence of the wild riders of Numidia who were to face the horsemen of Italy and of the Latin name.
If we find the skull, vertebræ, ribs, and phalanges of some quadruped as large as an elephant; we may indeed be certain that the legs of this quadruped were of considerable size much larger than those of a rat; and our reason for conceiving this correlation as necessary, is, that it is based, not only upon our experiences of moving organisms, but upon all our mechanical experiences relative to masses and their supports.
The absence of pain or inconvenience in many instances doubtless keeps the number of cases reported few, and again we must take into consideration the fact that the class of persons afflicted with ainhum are seldom brought in contact with medical men. The disease usually affects the 5th phalanx at the interphalangeal joint. Cases of the 4th and other phalanges have been reported.
All intermediate forms between the innocent chondroma and the malignant chondro-sarcoma are met with. Chondroma may occur in a multiple form, especially in relation to the phalanges and metacarpal bones.
Barrels of white and red wine had been decanted into bottles, and with American and German beer stood in phalanges beside the milky banana columns, and from these all replenished their polished beakers of the dark nuts.
Lastly, and 9thly, in a cliff of the red clayey bed B, there was a double piece, about three feet long and two wide, of the bony armour of a large Dasypoid quadruped, with the two sides pressed nearly close together: as the cliff is now rapidly washing away, this fossil probably was lately much more perfect; from between its doubled-up sides, I extracted the middle and ungual phalanges, united together, of one of the feet, and likewise a separate phalanx: hence one or more of the limbs must have been attached to the dermal case, when it was embedded.
The wrist is composed of eight bones, ranked in two rows, each comprising four bones; the metacarpus of five and the fingers, which are five in number, of three bones each, called the phalanges, except the thumb, which has but two.
The parts are readily palpable and are found to be hot, supersensitive, and more or less infiltration of the tissues contiguous to the joint causes swelling. There is volar flexion of the phalanges when the subject is at rest. Lameness is intense; in some acute inflammatory disturbances the subject is unable to bear weight on the affected member.
Thus, it is quite conceivable that a pleurodont lizard might have arisen in Madagascar in perfect independence of the similarly-formed American lacertilia: just as certain teeth of carnivorous and insectivorous marsupial animals have been seen most closely to resemble those of carnivorous and insectivorous placental beasts; just as, again, the paddles of the Cetacea resemble, in the fact of a multiplication in the number of the phalanges, the many-jointed feet of extinct marine reptiles, and as the beak of the cuttle-fish or of the tadpole resembles that of birds.
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