FOURTH EDITION ANATOMICAL GUIDE FOR THE ELECTROMYOGRAPHER The Limbs ane Trunk ALDO ©. PEROTTO, M.D, ANATOMICAT. GUIDE FOR THE ELECTROMYOGRAPHER ANATOMICAL GUIDE FOR THE ELECTROMYOGRAPHER The Limbs and Trunk a JOMN LAZALITL, Mb, DANIEL MORRISON, ALD. Fourth Edition by ALDO O. PEROTTO, M.D. Asocate Profesor Drpartovn of Reilsion Medicine Alber Eis Colle of Meine Dinerte of Resilny Tang Progr Nea Yorks ee Yor sae by Alco O, Zertt, MLD, ond ‘gh Thomas CHARLES C THOMAS + PUBLISHER, LTD. Springfield » Minas + U.S.A rll end Dre Dah Wi ip sqengieh Wincie “Toca prt ty ope. pst ise beseech, IBN wsneoTSers Yan in yy ie Perk poe! tr my ‘scl getter ad vite se ane ere otto THOMAS SOOKS i eft eos 9 ut fo ara ot me vb te Patt Stef ne itary of Congress Cetloging in Pubiteton Duta Peg head Ete " ° seasons othe memory of my Mentor and lend ‘Dx Edward Delage And to My granddaughter Lanra Adriana cand to my grandson Martin Alejandro PREFACE sith the earlier editions, this Furth Raion of The Anatomica’ Guide fo the Flectnmyographor ices povates few newe muscles not plevionsly deccrihed. Tr presents, hawever, a substantial amoune of inasiclogical informatio, which 1 consider the most unportart add liom, This information aus beer added in the “Comments” section of each muscle. [Ls my belief that knossing the fmetional way in which teach muscle acts will help dhe Fleciromyegrapher to enalyze and tundesstand better the electromyagraphic findings. he techaique for the insertion of the eecttade has also been lescibed it greater decile ia oder wo avid euutsuon pills iu is phise al tae procedure, ‘The techmique descnbed for the study of the diaphragm is not hhased on my persanal experience, in contrast with all ether amiscles in this baok. Tris hased on the experience of Dr, P. Ssadeh who described the technique in 1993, mally, a number of biblagrapie sources have been added to this fourth edition 4.0. Pevosto etaboe 2004 ACKNOWLEDGMENTS Fi an, Fond eo thank he ae Paar Daag far his steadfast support over many years. Teansider myself very Faaninare ta have had the qpecil privitege af spending 21 years of my plotessional fe wouking together with him, As a teacher, a colleague fné a friend, hs was the most hones, intelleat and generous person Thave ever known, His passirg has lett © profound vacusam i the ‘medical communtiy and ir: my perscnal He. This ediion is dedicaved, with my gratinede, € his memory. ‘Once again, | sve special thanks to my wile, Phyllis, Jor her love, pakeuce aid eaeouryenent Unougiout the lug process uf cevisio {Yo my oon, Oscar, lor his editorial work, and finally, my thanks go to the Department of Rehahihiation Medicine of the AMbert Ensen Callege af Medicine far their support