By Broughton, Nigel S. Broughton
A transparent, concise method of a small yet vital subspecialty that is an integral part of orthopaedic surgical education and ultimate examinations. Aimed additionally on the training orthopaedic healthcare professional desiring entry to simple paediatric details, it's as appropriate for fast referral because it is for revision reasons. good points: * A concise account of a necessary subspecialty * all of the simple rules of paediatric orthopaedics in a single simply obtainable e-book * sincerely illustrated * Covers all vital themes on the point of easy rules * Written via a unmarried very popular division, drawing at the joint services of its many participants and their event operating as a workforce * Geared heavily to the necessities of surgical trainees all through Europe and Australia
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Extra resources for A Textbook of Paediatric Orthopaedics
Recording Electrode Placements • E1 A monopolar needle or surface recording electrode is placed 2 to 4 cm proximal to the ulnar styloid process on the dorsal aspect of the forearm, near the lateral edge of the ulnar bone. • E2 It is positioned distal to the E1 electrode, on the ulnar styloid process. Stimulation Sites 45 46 • Distal (forearm) A stimulating cathode is placed 4 to 6 cm proximal to the E1 electrode along the lateral edge of the ulna. • Elbow It is stimulated 5 to 6 cm proximal to the lateral epicondyle of humerus, between the biceps brachii and brachioradialis muscles.
05) Comments Median motor nerve conduction studies were also performed with standard techniques. 1-ms duration] is required. Otherwise, the small responses are obscured by the volume-conducted compound muscle action potentials. A reduced conduction velocity has been reported in the patients with CTS. Palmar Cutaneous Nerve of the Median Nerve Conduction Studies (Fig. 3-18) Control 36 37 Figure 3-18. Orthodromic conduction studies of the palmar cutaneous nerve of the median nerve. 12 • E1 The E1 active electrode is placed at the wrist, 10 cm from the stimulating electrode (C).
71 • Below fibular head: The nerve is stimulated just below and lateral to the fibular head. • Knee: The stimulation is applied at the cross-section point between the lateral hamstring tendon and crease of the popliteal fossa. Proximal to this point, it is often difficult to stimulate because the nerve is positioned more deeply under the biceps femoris tendon. Stimulation applied more proximal to the popliteal fossa may excite both the peroneal and tibial nerves because of both nerves' close proximity.
A Textbook of Paediatric Orthopaedics by Broughton, Nigel S. Broughton