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Case Reports |
Mr. Nelson is currently assigned to the Bureau of Medical Services, US Public Health Service on Training, outside the service in a doctoral program at The University of Iowa, Iowa City, IA 52242.
Dr. Currier is Professor and Director of Research, Department of Physical Therapy, University of Kentucky Medical Center, Lexington, KY 40506.
This excerpt was created in the absence of an abstract.
An 18-year-old Coast Guardsman was referred for electrophysiologic evaluation to the US Public Health Service Hospital, San Francisco, because of his inability to flex actively the distal segment of the right thumb and index finger. This loss of movement had been present for three weeks. Medical examination revealed an otherwise healthy man. During the evaluation in physical therapy, the muscle strength testing revealed a Zero grade for the flexor digitorum profundus muscle of the distal interphalangeal joint of the index finger and for the flexor pollicus longus muscle. All other muscles in the right upper extremity were of normal strength. No sensory changes were noted in the right hand.
The results of the evaluation suggested possible involvement of the anterior interosseous branch of the median nerve.1 An electrophysiologic plan was developed to test this possibility.
Key Words: Electromyography Nerve compression syndromes Physical therapy
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