Vincent Martinel, Benjamin Ferembach, Karim Anani, Floris Van Rooij, Bethany Grew, Thomas Apard
{"title":"利用肌电图分析感觉塌陷试验中的肌肉活动:实验病例报告","authors":"Vincent Martinel, Benjamin Ferembach, Karim Anani, Floris Van Rooij, Bethany Grew, Thomas Apard","doi":"10.1016/j.hansur.2024.101772","DOIUrl":null,"url":null,"abstract":"<p><p>A 48-year-old right-handed male surgeon complained of finger numbness, pain, cramps and weakness of 2 years' progression, without improvement after 2 carpal tunnel corticosteroid injections and splinting. The patient was diagnosed with lacertus syndrome with Hagert's triad. Sensory collapse test was positive, but the sensations during the test were not consistent with the literature. Therefore, a sensory collapse test was performed in combination with electromyography; immediately following cutaneous stimulation, partial transient collapse in muscle tone was observed, without complete interruption. Following surgical release of the ipsilateral median nerve at the lacertus fibrosus, the symptoms were resolved, and combined sensory collapse test and electromyography revealed minimal to no collapse in muscle tone following cutaneous stimulation.</p>","PeriodicalId":94023,"journal":{"name":"Hand surgery & rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Muscle activity analysis using electromyography during sensory collapse test: An experimental case report.\",\"authors\":\"Vincent Martinel, Benjamin Ferembach, Karim Anani, Floris Van Rooij, Bethany Grew, Thomas Apard\",\"doi\":\"10.1016/j.hansur.2024.101772\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>A 48-year-old right-handed male surgeon complained of finger numbness, pain, cramps and weakness of 2 years' progression, without improvement after 2 carpal tunnel corticosteroid injections and splinting. The patient was diagnosed with lacertus syndrome with Hagert's triad. Sensory collapse test was positive, but the sensations during the test were not consistent with the literature. Therefore, a sensory collapse test was performed in combination with electromyography; immediately following cutaneous stimulation, partial transient collapse in muscle tone was observed, without complete interruption. Following surgical release of the ipsilateral median nerve at the lacertus fibrosus, the symptoms were resolved, and combined sensory collapse test and electromyography revealed minimal to no collapse in muscle tone following cutaneous stimulation.</p>\",\"PeriodicalId\":94023,\"journal\":{\"name\":\"Hand surgery & rehabilitation\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Hand surgery & rehabilitation\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1016/j.hansur.2024.101772\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/9/13 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hand surgery & rehabilitation","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.hansur.2024.101772","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/9/13 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
Muscle activity analysis using electromyography during sensory collapse test: An experimental case report.
A 48-year-old right-handed male surgeon complained of finger numbness, pain, cramps and weakness of 2 years' progression, without improvement after 2 carpal tunnel corticosteroid injections and splinting. The patient was diagnosed with lacertus syndrome with Hagert's triad. Sensory collapse test was positive, but the sensations during the test were not consistent with the literature. Therefore, a sensory collapse test was performed in combination with electromyography; immediately following cutaneous stimulation, partial transient collapse in muscle tone was observed, without complete interruption. Following surgical release of the ipsilateral median nerve at the lacertus fibrosus, the symptoms were resolved, and combined sensory collapse test and electromyography revealed minimal to no collapse in muscle tone following cutaneous stimulation.