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Tibial and fibular nerves evaluation using intraoperative electromyography in rats
Nepomuceno, André Coelho; Politani, Elisa Landucci; Silva, Eduardo Guandelini da; Salomone, Raquel; Longo, Marco Vinicius Losso; Salles, Alessandra Grassi; Faria, José Carlos Marques de; Gemperli, Rolf.
  • Nepomuceno, André Coelho; Universidade de São Paulo. Medical School. Department of Plastic Surgery and Microsurgery. BR
  • Politani, Elisa Landucci; Universidade de São Paulo. Medical School. Department of Plastic Surgery and Microsurgery. BR
  • Silva, Eduardo Guandelini da; Universidade de São Paulo. Medical School. Department of Plastic Surgery and Microsurgery. BR
  • Salomone, Raquel; Universidade de São Paulo. Medical School. Department of Plastic Surgery and Microsurgery. BR
  • Longo, Marco Vinicius Losso; Universidade de São Paulo. Medical School. Department of Plastic Surgery and Microsurgery. BR
  • Salles, Alessandra Grassi; Universidade de São Paulo. Medical School. Department of Plastic Surgery and Microsurgery. BR
  • Faria, José Carlos Marques de; Universidade de São Paulo. Medical School. Department of Plastic Surgery and Microsurgery. BR
  • Gemperli, Rolf; Universidade de São Paulo. Medical School. Department of Plastic Surgery and Microsurgery. BR
Acta cir. bras ; 31(8): 542-548, Aug. 2016. tab, graf
Article in English | LILACS | ID: lil-792406
ABSTRACT
ABSTRACT PURPOSE: To evaluate a new model of intraoperative electromyographic (EMG) assessment of the tibial and fibular nerves, and its respectives motor units in rats. METHODS: Eight Wistar rats underwent intraoperative EMG on both hind limbs at two different moments: week 0 and week 12. Supramaximal electrical stimulation applied on sciatic nerve, and compound muscle action potential recorded on the gastrocnemius muscle (GM) and the extensor digitorum longus muscle (EDLM) through electrodes at specifics points. Motor function assessment was performaced through Walking Track Test. RESULTS: Exposing the muscles and nerves for examination did not alter tibial (p=0.918) or fibular (p=0.877) function between the evaluation moments. Electromyography of the GM, innervated by the tibial nerve, revealed similar amplitude (p=0.069) and latency (p=0.256) at week 0 and at 12 weeks, creating a standard of normality. Meanwhile, electromyography of the EDLM, innervated by the fibular nerve, showed significant differences between the amplitudes (p=0.003) and latencies (p=0.021) at the two different moments of observation. CONCLUSION: Intraoperative electromyography determined and quantified gastrocnemius muscle motor unit integrity, innervated by tibial nerve. Although this study was not useful to, objectively, assess extensor digitorum longus muscle motor unit, innervated by fibular nerve.
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Full text: Available Index: LILACS (Americas) Main subject: Peroneal Nerve / Tibial Nerve / Monitoring, Intraoperative / Electromyography Limits: Animals Language: English Journal: Acta cir. bras Journal subject: General Surgery / Procedimentos Cir£rgicos Operat¢rios Year: 2016 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade de São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Peroneal Nerve / Tibial Nerve / Monitoring, Intraoperative / Electromyography Limits: Animals Language: English Journal: Acta cir. bras Journal subject: General Surgery / Procedimentos Cir£rgicos Operat¢rios Year: 2016 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade de São Paulo/BR