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The Journal of Bone & Joint Surgery British Volume
Vol. 43-B, Issue 2 | Pages 222 - 236
1 May 1961
Parry CBW

1. The results of electrodiagnostic tests reveal the level and progress of nerve lesions.

2. The findings in a myopathic lesion are: a) a normal SD curve; b) no fibrillation on the E.M.G.; c) on volition a full interference pattern-because motor units have not been lost, but only muscle fibres within the units; d) the action potentials are short in duration, polyphasic and of low amplitude; e) conduction times are normal.

3. In peripheral nerve affections these findings are evidence of denervation: a) a sluggish response to a long duration current; b) a kinked SD curve; c) fibrillation at rest on the E.M.G.; d) a reduced interference pattern of motor unit action potentials on volition; e) a preponderance of polyphasic action potentials of long and short duration; f) slowing of conduction times.

4. Evidence of reinnervation is given by: a) a kink in the SD curve; b) the appearance of a response in the muscle to nerve stimulation; c) a progressive increase in conduction velocity; d) the appearance of polyphasic action potentials on volition; e) fibrillation becoming more difficult to detect.

5. The following findings suggest a lesion of the anterior horn cell: a) difficulty in detecting fibrillation, and a relatively normal SD curve in the presence of marked wasting. (Intact axons have "mopped up" denervated fibres.) b) Marked reduction in interference pattern with ‘giant units’. c) Normal conduction velocity.


The Journal of Bone & Joint Surgery British Volume
Vol. 37-B, Issue 4 | Pages 591 - 600
1 Nov 1955
Smythe N Parry CBW

1. The indications for the use of lively splints in upper limb paralysis instead of reconstructive surgery are discussed.

2. Examples of lively splints used for the elbow, wrist and hand are described and illustrated.