Notes and Queries on Small-Pox
BMJ (Clinical Research Edition)
LDICAL JORTAt, 185 tions of the serratus magnus were well seen and felt on the left side, but on the right could not be recognised either by sight or touch. With the arms grasping the back of a chair, the right half of the chest moved much less than the left on forced inspiration. All the movements of the arm requiring the assistance of the serratus magnus or deltoid were much interfered with. It would seem that there was some affection of the circumflex and posterior thoracic nerves accounting
... for the pain in July, the paralysis of the posterior thoracic having brought about the characteristic dislocation of the scapula. The comparatlive rarity of the condition has induced me to write this note on the case. As to the cause he could give no hint. He was accustomed to hard work and carrying heavy weights, but I could not trace any definite lesion or find any on examination. A tight belt round the scapula enabled him to work fairly well. In addition fly blisters were applied over the origin of the posterior thoracic nerve, and the affected muscles rubbed with a stimulating liniment. Mr. Cotterill, who kindly saw the patient for me at the Edinburgh Royal Infirmary, recommended also the hypodermic injections of strychnine into the substance of the muscle, and the use of the interrupted current. The patient made a complete recovery in two months.