Identifier: medicalsurgicalt02good (find matches)
Title: Medical and surgical therapy
Year: 1918 (1910s)
Authors: Goodwin, T. H. (Thomas Herbert), b. 1871, ed Keogh, Alfred, Sir, 1857-1936, ed
Subjects: Medicine, Military Military Medicine Surgery
Publisher: New York : D. Appleton
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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of the same kind. A study of the different phasesof each step (as seen from in front and from behind) shows thefollowing peculiarities. When the two feet are resting on theground, they are widely separated from one another; the rightlower limb is also in very marked external rotation. When theaffected foot moves forward, it is not carried directly forwardslike the sound foot, but describes an arc of a circle with an internalconvexity; it is first brought forwards and inwards by a move-ment of flexion of the leg which is then extended and carried for-wards and outwards. While describing this movement the foothangs in a position of equino-varus and sweeps the ground withits tip and outer border. Lastly, when the sound foot is raisedfrom the ground and moves forward, the trunk is bent stronglyto the affected side, and performs a very pronounced movement ofsalutation. This cinematograph film (Gaumont) was shown on the screen atthe Doulens Neurological Congress (January 1916). 504 PLATE II
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HISTORICAL 505 ditions a certain number of wounded men presentingsymptoms of the same kind, and we have several timesnoted during narcosis this peculiar exaggeration of thetendon reflexes in the affected limb. We were thus placed in possession of a new symptom,or, at any rate, of a method which enabled us to detectincreased excitability of the tendon reflexes in casesin which such increase was doubtful under normalconditions. In some of the patients the symptom which we havejust described was absent, but others equally significantwere found : the contracture disappeared during deepancesthesia only ; it was still present at a period whenthe conjunctival reflex was abolished, and stimulationby pricking the sound limb did not cause any reaction ;the return of the contracture was simultaneous withthat of the tendon reflexes, and sometimes precededthe first signs of returning consciousness by twenty totwenty-five minutes. Moreover, the effort at reductionduring complete anaesthesia and aft

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