Am J Phys Med Rehabil. 1990 Jun;69(3):126-7.

Needle electrode insertion into tibialis posterior. A new approach.

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Department of Physical Medicine and Rehabilitation, UMDNJ-New Jersey Medical School, Newark 07103.

Abstract

The tibialis posterior can be a valuable muscle in the electrodiagnostic evaluation of the sacral plexus, lumbosacral roots, lower extremity neuropathies and tibial nerve lesions. It may be under utilized, however, because it is generally considered to be inaccessible to needle examination. The purpose of this study was to compare the widely recommended posterior approach to this muscle to an anterior approach that we define. In six cadaver legs, the safe access to this muscle via the anterior approach was 16.8 +/- 5 mm by contrast to 9.5 +/- 2 mm by the posterior approach. We conclude that the anterior approach to needle electromyography of the tibialis posterior muscle is easier, safer and deserves more widespread practice.

PMID:: 2163649; [PubMed - indexed for MEDLINE]

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Cited by 1 PubMed Central article

Tibialis posterior in health and disease: a review of structure and function with specific reference to electromyographic studies. [J Foot Ankle Res. 2009]
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Semple R, Murley GS, Woodburn J, Turner DE. J Foot Ankle Res. 2009 Aug 19; 2:24. Epub 2009 Aug 19.

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