Short Head Of Biceps Research Articles

Lateral Thigh Free Flap in Head and Neck Reconstruction

To understand the role of the lateral thigh flap in head and neck reconstruction, we performed injection studies and anatomic dissections in 2 fresh and 61 preserved cadaver extremities followed by 10 clinical cases involving defects after tumor ablation. The flap, based on the third perforator of the profunda femoris artery, is designed on the posterolateral aspect of the distal thigh. The pedicle courses through the biceps short head, allowing optional transfer of this muscle. Defects of the oral cavity, pharynx, cervical esophagus, and external skin were successfully restored. One flap was unsuccessful because of intraoperative injury to the vascular pedicle. Compared with the radial forearm flap, the lateral thigh flap provides more tissue and the donor scar is more easily hidden, but the vascular pedicle is shorter, of smaller caliber, and more variable. The lateral thigh flap provides thin, pliable, and reliable tissue for a variety of needs in properly selected patients.

The effect of cortical lesions on the electromyographic response to joint displacement in the squirrel monkey forelimb

The extent of participation of supraspinal structures in the generation of the long latency (M2) electromyographic (EMG) response to imposed joint displacement may be reflected in the effect of lesions of the central nervous system. M2 activity has been reported in a variety of studies to be either present or absent following supraspinal lesions. Since other studies have shown different characteristics of long latency activity in proximal as compared to distal upper limb muscles in primates, the present experiments were conducted to determine the effect of motor cortical (area 4) lesions on reflex activity generated in a proximal versus a distal upper limb muscle. Chronic experiments were performed on squirrel monkeys with unilateral lesions of the forelimb motor cortex (area 4) which was mapped with the aid of electrical stimulation. Input-output relationships were determined between torque motor-imposed joint rotation and the EMG response in the stretched muscles (flexor digitorum profundus (FDP) and short head of biceps (SHB)). The EMG responses were reported as a percentage of maximum EMG output and controlled for base line EMG level. The "gain" (slope of EMG response versus torque load) for FDP M2 activity was markedly decreased in the limb contralateral to the area 4 lesion as compared to the opposite limb. This decrease was independent of base line EMG levels. In SHB, early latency (M1) EMG activity was significantly increased, but M2 activity appeared unaffected on the side contralateral to the lesion. The results demonstrate that the central and peripheral mechanisms generating M2 activity in FDP differ from those in SHB in terms of motor cortical dependency.

Electromyographic response to displacement of different forelimb joints in the squirrel monkey

The electromyographic (EMG) reflex response evoked in muscles stretched by imposed angular joint displacement has previously been studied in a variety of muscles and species. In most muscles studied, the EMG response consists of an initial burst of activity at latencies comparable to tendon tap responses followed by one or more bursts of EMG activity occurring at latencies less than somatosensory reaction time. The longer latency bursts or peaks of activity have often been assumed to be of similar origin in functionally diverse muscles. The present experiments were performed to examine the EMG response to imposed joint displacement in several different muscles of the squirrel monkey forelimb. The EMG was studied in muscles stretched by elbow, wrist, and metacarpophalangeal joint extension. Early (M1) and long (M2) latency peaks of activity could be observed in the EMG responses of short head of biceps (SHB), flexor carpi ulnaris (FCU), and flexor digitorum profundus (FDP), at latencies which are similar to those reported in other primate species allowing for differences in the size of the animals. The intervals between these peaks did not correspond to the period of oscillations in tension which occurred after the onset of the joint extension. The M2 peak consistently occurred later in SHB than in FCU and FDP. The M1 peak was smaller in distal than in proximal muscles and was frequently absent in FDP at resting levels of EMG activity. The ratio of M1 to M1 + M2 activity for different muscles revealed that proximal muscles had prominent early with less prominent long latency activity, whereas distal muscles had minimal early latency activity with prominent long latency activity. The onset of EMG activity approached tendon tap latencies in FCU at high base line EMG levels but in most cases occurred at approximately twice tendon tap latencies in FDP at high base line EMG levels. The results demonstrate the presence of significant differences between the EMG response to joint displacement in the proximal-distal series of forelimb flexors. Differences in the reflex response to joint displacement are discussed in view of twitch times and motor unit composition of the muscles studied.

Dynamic repair of acromio-clavicular dislocation.

Twenty patients with complete acromio-clavicular dislocation treated between 1967 and 1973 were reviewed with a follow-up time of from 1-6 years, the average being 3 years. They were treated by transposition of coraco-brachialia, short head of biceps and a third of pectoralis minor from their origin in the coracoid process to the clavicle together with repair of the acromio-clavicular joint. The results were evaluated according to pain, motion, deformity and x-rays with 90 per cent excellent results, 5 per cent fiar and 5 per cent poor. Discussion of the other types of treatment is presented.