Atlas of Electromyography
The Atlas of Electromyography is a visually alluring book which provides high quality anatomical illustrations of skeletal muscles that include nerve, plexus, and root supply; photographs of each muscle in healthy subjects to enable the practitioner to identify the optimum site of EMG needle insertion; clinical features of the major conditions affecting peripheral nerves; and electrodiagnostic strategies for confirming suspected lesions of the peripheral nervous system.The atlas is divided into sections on the major peripheral nerves. Each nerve is illustrated and its anatomy reviewed in the text. The authors provide a detailed outline of the clinical conditions and entrapment syndromes that affect the nerve, including a list of etiologies, clinical features, and electrodiagnostic strategies used for each symdrome. Each muscle supplied by the peripheral nerve is shown as an anatomical illustration with a corresponding human photograph. The text provides information about the muscle origin, tendon insertion, voluntary activation maneuver, and site of optimum needle insertion. The needle insertion point is identified in both the anatomical illustration and the corresponding photographs. This assures that pertinent bone, muscular, and soft tissue landmarks can be used to guide the electromyographer to a specific point on the skin. Potential pitfalls associated with the needle insertion are added, usually noting adjacent muscles or structures that may be mistakenly entered. Clinical correlates pertinent to the muscle being examined are also provided. The tlas of Electromyography serves as an anatomical guide for practitioners of electromyography and neurologists, as well as residents i neurology, physical medicine, and rehabilitation.
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abductor abnormal activates the muscle Activation Maneuver Flexion biceps bone brachial cervical changes on needle Clinical Comments Neurogenic Clinical Features Comments Neurogenic changes common peroneal nerve cutaneous deep peroneal nerve digiti minimi digits dorsal Electrodiagnostic Strategy EMG Needle Insertion entrapment examination may show femoral nerve fibers fibula flexor digitorum flexor hallucis foot forearm Gray's Anatomy head humerus Insert the needle inserted too deeply inserted too laterally inserted too medially lower trunk medial cord median nerve motor muscles innervated Needle Insertion Insert needle is inserted nerve Innervation Innervation neurogenic EMG obturator nerve Origin palsy paraspinal muscles peroneal division peroneus Pitfalls posterior interosseous nerve produces axonal loss pronator teres proximal pudendal nerve radial nerve radial nerve lesion radiculopathy roots L5 sacral plexus scapula sciatic nerve seen with lesions sensory shaft show neurogenic changes Sunderland superior gluteal nerve surface tarsal tunnel syndrome tendon terior thigh tibial nerve uInar ulnar nerve ventral rami