The purpose of this study is to determine whether placement of stimulating electrodes over the ulnar nerve is important for proper delivery of current leading to stimulation of intrinsic hand muscles.
Placement of stimulating electrodes over the ulnar nerve is important for proper delivery of current leading to stimulation of intrinsic hand muscles. Accuracy may be improved with a better description of the precise location of the ulnar nerve. There may be a simple fraction of the wrist width that can be utilized to assist the busy practitioner with accurate placement of the stimulating electrodes over the ulnar nerve. It is expected that the ulnar groove, when easily identified, will be an accurate estimate (within 10% of total wrist width) of the ulnar nerve location.
Study Type
OBSERVATIONAL
Enrollment
40
Ulnar right: * Width of wrist * Distance from radial side to middle of ulnar groove * Photo of ulnar groove o Grade ability to identify: easy, moderate-difficult, unable * Ultrasound measurements Ulnar left: * Width of wrist * Distance from radial side to middle of ulnar groove * Photo of ulnar groove o Grade ability to identify: easy, moderate-difficult, unable * Ultrasound measurements
Posterior tibial right: * Distance between prominence of medial malleolus and mid-Achilles tendon * Distance artery point of maximal pulsation to posterior border of medial malleolus * Distance artery point of maximal pulsation to medial border of Achilles tendon * Photo taken after palpating posterior tibial artery o Grade ability to identify: easy, moderate-difficult, unable * Ultrasound measurements Posterior tibial left: * Distance between prominence of medial malleolus and mid-Achilles tendon * Distance artery point of maximal pulsation to posterior border of medial malleolus * Distance artery point of maximal pulsation to medial border of Achilles tendon * Photo taken after palpating posterior tibial artery o Grade ability to identify: easy, moderate-difficult, unable * Ultrasound measurements
Mayo Clinic
Jacksonville, Florida, United States
Wrist width
Width of wrist will be measured with calipers and reported in inches
Time frame: Baseline
Reliability of wrist width to locate ulnar nerve
Total number of times that the ulnar nerve, as identified with ultrasound, falls between 5-15% of the wrist width distance as measured from the ulnar side of the wrist
Time frame: Baseline
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