3G SCREEN REPAIR

nedjelja, 18.12.2011.

FLEXOR POLLICIS LONGUS TENDON REPAIR : LONGUS TENDON RE


Flexor pollicis longus tendon repair : Surfboard repair



Flexor Pollicis Longus Tendon Repair





flexor pollicis longus tendon repair






    flexor pollicis
  • The flexor pollicis longus (FPL, Latin flexor, bender; pollicis, thumb; longus, long) is a muscle in the forearm and hand that flexes the thumb. It lies in the same plane as the flexor digitorum profundus.





    longus
  • adjective, Latin = long, hence, longissimus (superlative) = the longest.

  • MUSCA, PlTIO, RUFUS, RUTILUS, So-

  • Longus, sometimes Longos (??????), was a Greek novelist and romancer, and author of Daphnis and Chloe. Very little is known of his life, and it is assumed that he lived on the isle of Lesbos (setting for Daphnis and Chloe) during the 2nd century AD





    tendon
  • The hamstring of a quadruped

  • Tendon (particularly beef tendon) is used as a food in some Asian cuisines (often served at Yum Cha or Dim Sum restaurants). One popular dish is Suan Bao Niu Jin, where the tendon is marinated in garlic.

  • A flexible but inelastic cord of strong fibrous collagen tissue attaching a muscle to a bone

  • a cord or band of inelastic tissue connecting a muscle with its bony attachment

  • A tendon (or sinew) is a tough band of fibrous connective tissue that usually connects muscle to bone and is capable of withstanding tension.





    repair
  • the act of putting something in working order again

  • Fix or mend (a thing suffering from damage or a fault)

  • Make good (such damage) by fixing or repairing it

  • Put right (a damaged relationship or unwelcome situation)

  • restore by replacing a part or putting together what is torn or broken; "She repaired her TV set"; "Repair my shoes please"

  • a formal way of referring to the condition of something; "the building was in good repair"











Adductor Pollicis Recording Electrodes DSC 0004




Adductor Pollicis Recording Electrodes DSC 0004





Stimulating Electrodes:

White positive

Brown Negative

Recording electrodes:

Black Earth

Green Recording EMG electrode

Red Neutral EMG electrode



Polarity of electrodes:
The negative electrode should be placed distally:
Duration of stimulus
Stimulus should be a square wave and duration should be 200 microseconds and should be provided as a supramaximal stimulus.
Skin Temperature and Core temperature:
Changes in temperature at the neuromuscular monitoring site may affect the response to nerve stimulation. Central temperature should be > 35 degrees Celsius and skin temperature > 32 degrees Celsius.
Placement of the Stimulating electrodes over the ulnar nerve.
Electrodes ( Red Dot ™ Ag/AgCl paediatric micropore™ backed electrodes (3m™) will be attached to the volar (Palmar) side of the distal forearm over the ulnar nerve with the negative (stimulating) BROWN electrode positioned on the lateral side of the flexor carpi ulnaris tendon one to two centimetres proximal to the proximal wrist skin crease and the other positive WHITE electrode placed slightly offset (to ensure span over the ulnar nerve) 3 cm proximal.


The ulnar artery runs with the ulnar nerve and can be palpated to confirm the correct position of the placement of the negative stimulating electrode.












NMT adductor pollicis




NMT adductor pollicis





EMG Monitoring:

Attached are the electrode positions for ADD pollicis, First dorsal interosseous and Abd dig minimi.

Stimulating Electrodes over Ulnar Nerve;

1.Brown electrode: Negative (stimulating) (volar surface) 1 cm proximal to crease of wrist. Palpate ulnar artery, radial to flexor carpi ulnaris tendon
2.White electrode : Positive (volar surface) 3 to 4 cm proximal to brown electrode

3.Black electrode : Earth (ground) placed in (volar surface) midline on crease of wrist.


Recording Electrodes:

Green over muscle to be recorded
Red over tendon

Skin over ulnar nerve will be shaved and degreased with alcohol swab.










flexor pollicis longus tendon repair







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