RUPTURE OF THE EXTENSOR LONGUS POLLICIS.

1040 Professor Marie gives a full distal phalanx of the thumb, but had not the least unusual variety of traumatic power of extension. In contrast there was fair lesion of the median nerve, in which the sym- power to extend the proximal phalanx and first ptoms are mainly sensory, the motor symptoms metacarpal bone. When the tendons of the thumb being slight. Instead of holding his hand in were rendered prominent by strong extension the the characteristic position of median palsy, normal prominence of the extensor longus pollicis the patient keeps his fingers extended, some- was absent. When the finger was drawn along times the terminal phalanges are hyperextended, the course of the long extensor there could the thumb is in slight opposition. There is a fine be felt just below the posterior annular ligament tremor of the three radial fingers, and marked a small movable rounded slightly tender swelling. trophic and vaso-motor changes in the median This corresponded to the distal end of the ruptured The proximal end was not palpable. distribution are always observable. The hand is tendon. Electrical examination failed to elicit any response warmer than its fellow, but, above all, it is "
the

Salpetriere. description of an

daily, heavy needle.

sewing

He also used an iron for pressing clothes. On Oct. 25th, 1914, after a day’s work, he inserted his right hand into his trousers pocket in search of some object, twisting the hand about as one does in trying to explore angles and recesses. He was seized with severe pain over the posterior surface of the wrist on the radial side and over the back of the first metacarpal bone. On removing his hand he could not extend the distal phalanx of the thumb, though he could easily flex it. For several days there was greati pain over the dorsal surface of the wrist and first; metacarpal bone, and for a fortnight this regionl was tender and showed some swelling. On examina. tion on Dec. lst there was paralysis of the extensoi. longus pollicis. The patient could strongly flex thE; a

coarse,

.

THE Croonian lectures will be delivered at the

Royal College of Physicians of London on June 17th, 22nd, 24th, and 29th, at 5 P.M., by Surgeon-General Sir David Bruce, C.B., F.R.S., A.M.S. The subject will be Trypanosomes causing Disease in Man and Domestic Animals in Central Africa.

THE

Progress

of Public Health in

Egypt

is the

subject which Dr. F. M. Sandwith has chosen for his

course of four Gresham lectures to be delivered at the Gresham College, Basinghall-street, E.C., on May 18th, 19th, 20th, and 21st, at 6 P.M. The lectures will have a topical bearing.