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All of his cases had recovered under Dr (antabuse reaction symptoms). The radiometacarpal and metacarpophalangeal angles are more to a right angle on the side of the paralysis than on the sound In paralysis of the ulnar, when the thumb is adducted, the metacarpal becomes flexed and the first phalanx extended, causing a disappearance of the two angles (the lower angle even tends to be sometimes hyperextended); on the other hand, the flexion of the second phalanx which always accompanies this kind of adduction leads to the formation appearance is explained in cases of paralysis of the adductor poUicis by a supplementary adduction pro duced by the extensor longus, and which appears to involve the synergic contraction of the flexor longus In paralysis of the median the outline of the second phalanx remains extended as in the normal condition, and instead of disappearing the two angles become more pronounced and come nearer to a right of the adductors and ex- Sound Side.

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