Surgeons in the fields.

In certain hemiplegic patients the tone in the flexor and adductor muscles is too great for the extensors and abductors. This may sometimes result in joint contracture. Hence every attempt must be made to promote extension and abduction of the affected limbs. Drug treatment is of limited use in these cases, though dantrolene may be used in doses increasing from 25 mg to 100 mg five times a day. In any case, great care must be taken to avoid injury or abrasion to the affected parts, since healing is always poor and chronic ulceration not uncommon. A contracted limb is a great handicap. Conclusion