Document Detail


Electromyographic changes in postmeniscectomy patients. Role of the pneumatic tourniquet.
MedLine Citation:
PMID:  581679     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Delayed rehabilitation in postmeniscectomy patients may be due to a slowly resolving axonal compression syndrome secondary to the use of the pneumatic tourniquet. Twenty-five patients who underwent meniscectomy were examined to determine whether the pneumatic tourniquet used during the procedure caused a neurological dificit detectable by electromyography (EMG). Of these, 18 had postsurgical EMG changes that eventually resolved. Analysis of the data suggests a relationship between the occurrence of EMG abnormalities, the duration of the tourniquet inflation during surgery, and patient's recovery time. Quadricep muscle weakness after knee surgery has generally been attributed to disuse atrophy. In an attempt to prevent this problem, patients participate in a quadriceps exercise program, if possible, before surgery, with continuation after surgery. The persistence of weakness has been believed to be secondary to inadequate exercise.
Authors:
S I Weingarden; D L Louis; G W Waylonis
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  JAMA : the journal of the American Medical Association     Volume:  241     ISSN:  0098-7484     ISO Abbreviation:  JAMA     Publication Date:  1979 Mar 
Date Detail:
Created Date:  1979-04-26     Completed Date:  1979-04-26     Revised Date:  2006-11-07    
Medline Journal Info:
Nlm Unique ID:  7501160     Medline TA:  JAMA     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1248-50     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Electromyography
Female
Humans
Menisci, Tibial / surgery*
Muscles / innervation
Muscular Diseases / etiology*
Postoperative Care
Postoperative Complications*
Preoperative Care
Tourniquets / adverse effects*,  methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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