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The motor symptoms predominate, the muscles affected being the extensors of the wrist and fingers, and the supinators. If the hand and proximal phalanges are supported, the second and third phalanges may be partly extended by the interossei and lumbricals.
The patient was a boy about twelve years old, born in Erzeroum, brought for treatment for scabies, and not for the affection about to be described. A very defective history led to the belief that a similar affection had not been observed in the family. When he was six years old it began on the terminal phalanges of the middle fingers.
The palm is of medium size, the fingers without knots, the third phalanges are all long and pointed, and the thumb is beautifully shaped. Whoever possesses a hand like this must be guided by ideals. He is a worshiper of the sublime and beautiful. He disdains small achievements, embarks enthusiastically upon forlorn hopes, and is spurred to victory by the fervor of his desires. "See this thumb!
But if what lies below the horse's "knee" thus corresponds to the middle finger in ourselves, what has become of the four other fingers or digits? We find in the places of the second and fourth digits only two slender splint-like bones, about two-thirds as long as the cannon bone, which gradually taper to their lower ends and bear no finger joints, or, as they are termed, phalanges.
There are four toe prints arranged in a semicircle which show no claw marks. But the ball of the foot is the unmistakable feature. It consists of three distinct eminences or pads which lie parallel, antero-posteriorly, and appear in the track as if you had pressed the terminal phalanges of your fingers side by side in the dust.
Both searchers seemed equally helpless to attain their objects. Moreover, when a tall and muscular maiden sweeps down upon one, leaving behind her a train of shrieks and scattered phalanges, there is absolutely nothing for one to do but to get out of her way as expeditiously as possible. No use in breaking two necks, and the critics were waiting for the symphonic poem.
Bone implements of all kinds and whistles made of the phalanges of oxen are also constantly found. Even if the presence of these objects does not enable us to come to any final conclusion, they are at least most useful and interesting in enabling us to put together little by little a picture of the life of the most ancient inhabitants of France.
The femur was six inches long, the woman had a foot of six bones, four being toes, viz., the first and second phalanges of the first and second toes. She had an acetabulum, capsule, and ligamentum teres, but no tibia or fibula; she also had a defective right forearm. She was never the victim of rachitis or like disease, but died of syphilis in the Colonial Hospital.
But if what lies below the horse's "knee" thus corresponds to the middle finger in ourselves, what has become of the four other fingers or digits? We find in the places of the second and fourth digits only two slender splint-like bones, about two-thirds as long as the cannon bone, which gradually taper to their lower ends and bear no finger joints, or, as they are termed, phalanges.
Regeneration of tissue in such cases, as has been pointed out, is slow and sufficient time for complete recovery must be allowed or relapses will occur. Fracture of the First and Second Phalanges. Etiology and Occurrence. Often, almost insignificant injuries cause phalangeal fractures.
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