The seed for this book was planted by a second-year resident in Neurology, Vicente Trapani, who desired a handbook in electromyography (EMG) that emphasized both muscle localization and clinical pearls. A gifted artist, Trapani envisioned a text that would provide high-quality illustrations of skeletal muscles that included nerve, plexus, and root supply; photographs of each muscle in a healthy subject to identify 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 book was also nurtured by my personal experience as a program director in Clinical Neurophysiology. Many residents and fellows offered encouragement and constructive criticism. This added further incentive to improve the content and style to make it more useful for trainees in neurology and physical medicine rehabilitation programs. This book should be of value to these trainees and to practicing electromyographers regardless of their clinical disciplines. The book also provides numerous aids to the examination of the peripheral nervous system, which should prove useful to members of other specialties, including critical care medicine, neurological surgery, and family practice. The general practitioner may also choose to use this book as an anatomical guide.
Many of the anatomical and clinical descriptions contained in this book are derived from reviews of several editions Gray's Anatomy as well as Sunderland's writings on peripheral nerves and nerve injuries. Additionally, publications by the American Association of Electrodiagnostic Medicine proved invaluable. Therefore, this book should ideally be used in conjunction with these other sources.
The book is divided into sections based on the major peripheral nerves. Each nerve is illustrated, and its anatomy reviewed in the text. This followed by a detailed outline of the clinical conditions and entrapment syndromes that affect the nerve, including a list of the etiologies, clinical features, and electrodiagnostic strategies used for each syndrome. General comments about the syndrome are also provided. Finally, each muscle supplied by the peripheral nerve is shown in an anatomical illustration and in a corresponding human photograph. The illustration shows the root, plexus, and peripheral nerve supply to the muscle. Written text provides information about the muscle origin, tendon insertion, voluntary activation maneuver, and site of optimum needle insertion. The latter is identified by a black dot (or sometimes a needle electrode) in both the anatomical illustration and the corresponding human photograph. This ensures that pertinent bony, muscular, and soft tissue landmarks can be used to guide the electromyographer to a specific point on the skin for needle insertion. Potential pitfalls associated with the needle insertion are pointed out usually adjacent muscles or structures that may be entered by mistake. Clinical correlates pertinent to the muscle being examined are also added.
I hope that use of this book will promote interest and research in peripheral neuroanatomy and electrodiagnostic medicine.
-- A. Arturo Leis MD
-- A. Arturo Leis MD
Contents
- 1: Brachial Plexus
- 2: Median Nerve
- 3: Ulnar Nerve
- 4: Radial Nerve
- 5: Axillary Nerve
- 6: Musculocutaneous Nerve
- 7: Suprascapular Nerve
- 8: Dorsal Scapular Nerve
- 9: Long Thoracic Nerve
- 10: Subscapular Nerves And Thoracodorsal Nerve
- 11: Medial And Lateral Pectoral Nerves
- 12: Cervial Plexus
- 13: Phrenic Nerve
- 14: Sacral Plexus
- 15: Sciatic Nerve
- 16: Tibial Nerve
- 17: Common Peroneal Nerve
- 18: Superior Gluteal Nerve
- 19: Inferior Gluteal Nerve
- 20: Pudendal Nerve
- 21: Lumbar Plexus
- 22: Femoral Nerve
- 23: Obturator Nerve
- 24: Cranial Muscles
- 25: Paraspinal Muscles
Book Review
"It is with pleasure that I prepare this foreword to a work from a colleague whose professional accomplishments I have followed closely for the past ten years. Indeed, as one of his mentors during his fellowship years at the University of Iowa, I have witnessed firsthand Dr. Leis' proficiency in clinical neurophysiology and his insatiable desire to learn to teach. Early on, that desire culminated in the American Association of Electrodiagnostic Medicine's (AAEM) Golseth Award.
Dr. Leis' scientific accomplishments in the areas of motor control and clinical neurophysiology have subsequently propelled him to the rank of professor of neurology at the University Mississippi Medical Center. His scientific accomplishments have not overshadowed his desire to educate a new generation of clinical neurophysiologists. He has received numerous Teacher of the Year Awards, which no doubt reflect his priority educating residents and fellows, his ability to simplify even complex problems. I believe Dr. Leis' passion for teaching is reflected in this atlas of electromyography.
The beginner will enjoy the visually alluring anatomical illustrations and the corresponding human photographs that serve as a simple guide to muscle localization. Clinical comments pertinent to the muscle of interest will help to ease the beginner's anxiety about needle examination. The more experienced electromyographer will appreciate the well-organized, practical outlines of clinical conditions and entrapment syndromes that include lists the etiologies, clinical features, and electrodiagnostic strategies. Both novice and expert will benefit from the numerous aids to the examination of the peripheral nervous system.
I take great pride in knowing that this atlas is the product of one of our former students. This book meets the practical needs of physicians who perform the art of electromyography and provides a commonsense approach to problem solving for frequently encountered neuromuscular lesions. I have no doubt that the atlas will be widely used by residents, fellows, and practitioners, that it will become a standard guide in electromyography. I hope that its use will not only enhance the electromyographic evaluation, but also encourage research in the field of electrodiagnostic medicine."
-- Jun Kimura MD, Professor Emeritus Kyoto University, Kyoto; Professor Department of Neurology University of Iowa Hospitals and Clinics, Iowa City
- Hardcover: 199 pages
- Publisher: Oxford University Press, USA; 1 edition (February 15, 2000)
- Language: English
- ISBN-10: 0195112504
- ISBN-13: 978-0195112504
- Product Dimensions: 11.1 x 8.5 x 0.7 inches