TAILIEUCHUNG - Neuromuscular Diseases A Practical Guideline - part 5

Đôi khi dây thần kinh này là một chi nhánh của dây thần kinh nách và xuyên tâm. Chi nhánh thần kinh vận động cơ latissimus dorsi, và cũng có thể phân bố các thần kinh cơ teres lớn. | 189 Thoracodorsal nerve Genetic testing NCV EMG Laboratory Imaging Biopsy Fig. 29. Thoracodorsal nerve anatomy. 1 Thoracodorsal nerve. 2 Latissimus dorsi muscle This is trial version 190 Anatomy Fibers stem from C5-C7 roots. Only 50 of cases have fibers from C7. The fibers pass through the upper and middle trunks and the posterior cord and continues with the lower subscapular nerve. Occasionally this nerve is a branch of the axillary and radial nerves. A motor branch goes to the latissimus dorsi muscle and may also innervate the teres major muscle. Both muscles are adductors and inward rotators of the scapulohumeral joint and help to bring down the elevated arm see Fig. 29 . Symptoms Few clinical symptoms weakness compensated in part by pectoralis major and teres major muscles. Signs Atrophy and slight winging of the inferior margin of the scapula Motor Latissimus dorsi weakness in adduction and medial rotation of shoulder and arm. Causes Isolated lesion is very uncommon. Neuralgic amyotrophy rarely Plexus lesions injury in association with posterior cord or more proximal brachial plexus lesions. Diagnosis EMG Differential diagnosis Plexus posterior cord lesions upper middle trunk lesions Radicular C5-C7 lesion Therapy Conservative. Surgical interventions are not necessary because of the minor dysfunction. Due to this fact this muscle can be used for grafting to the biceps brachii and outward rotators of humeroscapular joint. Prognosis Good This is trial version 191 Pectoral nerve Patients note painless atrophy. Weakness and atrophy of the pectoral muscle. Compensatory hypertrophy of other chest muscles. Lateral pectoral nerve Receives fibers from C5-7 lateral cord of plexus and supplies upper part of pectoral muscle. Medial pectoral nerve Receives fibers from C8 T1 and supplies lower part of pectoral muscle. Aplasia Entrapment in hypertrophies of minor pectoral muscle Neck dissection Weight lifting Bird SJ 1996 Acute focal .

• Y học thường thức
• BMC Anesthesiology
• Neuromuscular blockade
• Residual neuromuscular blockade
• Neuromuscular blockade monitoring
• Confidence interval
• Neuromuscular blocking agent
• Selective relaxant binding agent
• Phrenic nerve
• Neuromuscular function
• Neuromuscular Junction
• Neuromuscular Transmission
• Presynaptic Disorders
• Postsynaptic Disorders
• Neuromuscular blocking agents
• Geriatric patients
• Neuromuscular monitoring
• Rocuronium neuromuscular block
• Reversal of neuromuscular block
• Reversal drug under dosing
• Residual and recurring neuromuscular block
• Oxford textbook of neuromuscular disorders
• Neuromuscular disorders
• Autonomic neuropathies
• Multiple mononeuropathies
• Diabetic neuropathy
• Peripheral nerve hyperexcitability disorders
• Inherited myasthenic syndromes
• Myasthenia gravis
• Endocrine myopathies
• Metabolic myopathies
• BMC Pediatrics
• Neuromuscular electrical stimulation
• Physical therapy plays
• Botulinum toxin A
• Cerebral palsy
• Train of four
• Sugammadex reverses
• Neuromuscular diseases
• Modified gamma cyclodextrin
• Motor neurone disorders
• Respiratory outcome
• Diaphragmatic activity
• Non depolarizing muscle relaxants
• Arterial hypotension
• Obstructive sleep apnea
• Postoperative pulmonary complications
• Neuromuscular blocking drugs
• Neuromuscular block
• Pharmacologic reversal
• Enhanced recovery after surgery
• Pyridostigmine bromide
• Sugammadex reverses neuromuscular block
• Sugammadex appears
• Single blinded randomized clinical trial
• Plasma dexamethasone
• Residual blockade
• Operating room
• Versus neostigmine
• Amyotrophic lateral sclerosis
• Immunomodulating treatment
• Other motor neuron disorders
• Spinal muscular atrophies
• Toxic neuropathies
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• Congenital myopathies
• Mitochondrial disorders
• BMC Musculoskeletal Disorders
• Ankle sprains
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• Musculoskeletal system
• General practitioner
• Knee osteoarthritis
• Total knee replacement
• Randomized controlled trial
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• Carbon dioxide
• High concentration oxygen therapy
• Physiological response
• Running biomechanics
• Load carriage
• Randomized clinical trial
• Resistance training
• Vertebral body
• Idiopathic scoliosis
• Neuromuscular scoliosis
• Aberrant asymmetrical vertebral growth
• Economic impact
• Surgical procedures
• Reversal agents
• Spanish health care setting