Comparison of Ultrasound and Anatomic Landmark Techniques of the Ulnar and Posterior Tibial Nerves
Mayo Clinic
Summary
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.
Description
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.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: • English speaking Exclusion Criteria: * History of ulnar neuropathy or ulnar nerve or wrist surgery (i.e. carpal tunnel) * Upper extremity edema
Interventions
- OtherHand measurements
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
- OtherFoot/ankle 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
Location
- Mayo ClinicJacksonville, Florida