Marked wrist-drop, with wasting of forearms and hands. Has no power of extension of wrist-joint, and scarcely any power of separating the fingers. Complete wrist-drop on the right side, incomplete on the left. Wrist-drop of both hands, but the right hand were powerless than the left. Wrist-drop, etc. Subsultus tendinum. Wrist permanently flexed at a right angle with the forearm; it could be further bent; its extension, abduction, and adduction were impossible; it is somewhat turned inwards, so that the lower extremity of the radius forms a marked projection on it outer side. Right wrist remained flexed upon the forearm. The right wrist is permanently flexed at an obtuse angle with the forearm. Instead of the hollow space which naturally exists at its ulnar border, there is a slight convexity; while conversely; the convexity as its radial border becomes a hollow space, so that the entire wrist and hand are twisted outwards. The wrist is quite forcibly flexed upon the forearm, and can be bend still further by an effort of the will, but cannot be extended; abduction and adduction are equally impossible. The left wrist is carried into abduction; its ulnar border has become convex.
It can also be straightened into a line with the arm; in short, there is paralysis of the extensor carpi ulnaris. The right wrist and fingers are semi flexed, and can be bent still farther; when flexed as much as possible, the finger-ends fall upon the middle portion of the thenar and hypothenar regions. The semi flexed parts cannot be extended. When he shuts his hand, and then tries to open it, he merely stops contracting the flexors; the extensors do not act at all. Wrists strongly flexed upon forearms; the left much more so than the right; extension, abduction, and adduction are impossible. Fingers flexed and extended at will. All other movements of forearms and hands free performed. Right wrist strongly flexed upon the forearm; its extension, abduction, and adduction are impossible.
Right wrist twisted inwards; its radial border describes a bold curve; it is incapable of abduction, and can only be carried a little further into adduction than when at rest. It can be extended, but cannot be turned back upon the forearm; on attempting this movement, the whole hand is thrown into adduction. The wrist is considerably flexed; the fingers form almost a right angle with the metacarpal bones; when most flexed, their tips touch the thenar and hypothenar regions. On clenching the fist, the flexion of the wrist is increased in proportion to that of the fingers. Right wrist flexed at a right angle with the forearm, and can be further flexed at will, but incapable of the least extension. Pronation and supination of the forearm freely performed. Between the paroxysms, the right wrist and the semi flexed fingers could neither be separated nor completely extended. When the hand was closed, the tips of the fingers reached only to the thenar and hypothenar regions. All other movements of the upper limb were easily performed. No paralysis on the left side. The paralyzed parts have retained their normal sensibility; no cramps or tremor. Sleep is good; the senses are perfect; digestion well performed; a stool every day. The left wrist cannot be extended. The wrist is quite forcibly flexed upon the forearm, and can be bent still further by an effort of the will; but it cannot be extended. The wrist and fingers are almost semi flexed, and can only be slightly extended. Left wrist flexed at an obtuse angle with the forearm; it can be bent further at will; its extension, abduction, and adduction are impossible, or nearly so. The wrist is slightly flexed on the forearm; it cannot be extended unless the hand is placed edgeways; it is with difficulty abducted or abducted at the sometime that it is extended or flexed. Complete paralysis of the right wrist; the right hand dropped powerless, and could only be raised by means of the left, and he could not grasp anything. Paralysis of the extensor muscles of the wrist and partially of the fingers. Palsy of wrist and fingers, with decided tremor on trying to move them.
Paralysis of the extensors of the right wrist and hand. Extension of the left wrist and fingers is slowly and feebly performed.
When the left hand is closed, the wrist is easily extended, abducted, or adducted. The right wrist is less easily extended than the left; the extensors of the right wrist are somewhat paralyzed. The left wrist is flexed and extended with ease, when the hand is previously closed. The wrist can still be straightened out upon the forearm, but in making this movement, it is brought into abduction, never into adduction; during extension, the strong action of the radial muscles is plainly visible, while hardly the slightest motion can be detected in the extensor carpi ulnaris. Weakness of wrists and fingers (after the subsidence of the colic). Sensation of heaviness in the wrists and fingers. Sensation of weight in the extremities of the wrists and fingers. Feeling of weight in the right wrist and fingers. Frequent attacks of pains, extending from the wrists up the arms. Pains in the articulations of the arm and hand, with convulsive movements. Tearing on the lower surface of the right wrist, extending thence to the back of the hand and fingers, in the afternoon. A peculiar sensation of numbness in the left wrist.
Hand. (The parts chiefly exposed to contact with the paint were the right hand, wrist, and forearm; and these were also the parts most affected by paralysis). In the upper limbs, the trembling is almost wholly confined to the hands, which move to and fro in almost uniform oscillations. Only when he is vexed or fatigued, dose it spread all over the upper limbs. The tremor is always worse in evening than in the morning. He can still squeeze quite forcibly with either hand; but as he is very powerfully built, it is evident that the strength of his limbs is not in proportion to his general muscular vigor. Measured by Duchenne’s dynamometer, the compressive force exerted by the right hand is equal to 12 kilog., that of the left hand to 10 kilog., the pulling force is 62 kilog., which is certainly below what his appearance would indicate. The sensibility is entirely unimpaired. The muscles of the forearm contract as normally as those of other parts under the action of electricity. Tremor worse when he is intoxicated. Trembling of the hands. Constant violent trembling in the right hand, almost disabling him from work; unaccompanied, for eight days, by weakness, distortion, or pain of the part. His hands tremble violently when he tries to take his shovel. Hand unsteady and trembling. Began to notice that his hands trembled a little when he was fatigued; though his general strength seemed entirely unimpaired. Had lead colic forty-seven years ago (his only attack), two or three months afterwards his hands began to tremble, and they have been trembling even since, with some periods of remission and aggravation. He has observed that when anything goes wrong with him, the trembling becomes sensibility worse. When the hands are stretched out, they are both seen to tremble, the right one rather more than the left. The right ring finger hangs down semi flexed, and cannot be completely extended. The paralysis of the extensors affects especially the last phalanx. On the left hand, only the ring finger is paralyzed. The grasp of the hands, especially of the right hand, is very weak. The lower limbs are somewhat weak, but do not tremble. Cramps in the last three fingers of the right hand, and in the calves. He began to feel first tremor and weakness in the hands; the tremulousness increased; it was confined to the hands and wrists; his hands grew gradually worse for about six weeks, and then he had the “drop-wrist;” the ligaments were very lax. Tremor of the hands. Some lead tremor, especially in the right hand (with which she handled the type). Tremor of the hands, especially the left. Sudden tremor of the right hand, while at work; this slight agitation of the fingers was soon followed by paralysis (a week after being cured of colic). Four days later, tremor and paralysis of the left upper limb.
Slight tremor of the right hand. Slight tremor of both hands.
Both hands drooped. Had the power of pronation but not of extension. The back of the hand is convex; it exhibits two prominent projections formed by the heads of the second the third metacarpal bones. The back of the hand is convex; on the right side of the wrist is a small elevation formed by the projection of the second and third metacarpal bones; on the left side a swelling, similarly formed, by the trapezium and trapezoid. The backs of the hands were blue, clammy, and slightly infiltrated. The back of the hand is curiously deformed; the metacarpal bones from a concavity, being much enlarged where they articulate with the phalanges; there is a small elevation on the wrist, formed by the projection of the second and third metacarpal bones. It is impossible to close the hand entirely; in attempting to do so, the tips of the fingers fall upon the thenar and hypothenar regions; the last phalanges are very slightly flexed upon the second. Hands flexed upon the forearms; when he tries to lift them he observes that the right hand is bent inward, and can scarcely he raised above the horizontal plane; the left hand, on the contrary, makes almost a right angle with the forearm and is not bent inwards. The palm of the hand dose not lie on the bed, but looks the other way.
Born in 1837in Westminster, Vermont. . He was an orthodox doctor who converted to homeopathy
Dr. Allen compiled the Encyclopedia of Pure Materia Medica over the course of 10 years.
In 1881 Allen published A Critical Revision of the Encyclopedia of Pure Materia Medica.