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Determination of Physiological Length of a Reconstructed Muscle-Tendon Unit through Muscle Stimulation
GEORGE E. OMERJR.; JAMES A. VOGEL
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From Fitzsimons General Hospital and the U. S. Army Medical Research and Nutrition Laboratory, Denver
1965 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1965; 47:304-312 
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Abstract

The thesis has been considered that the visual pattern of finger motion produced by faradic stimulation at surgery can serve as a guide for the correct adjustment of the length of a reconstructed muscle-tendon unit within the stimulated synergistic muscle group.

Experimental studies performed in eighty-five subjects indicated that muscle tone varies under many conditions, but the relative tone of synergistic muscles of the fingers remains the same. Therefore, the strength of faradic stimulation required to produce a normal range of motion in a functional muscle-tendon unit is the correct strength to evaluate the function of a reconstructed muscle-tendon unit from the same synergistic muscle group.

Faradic stimulation of synergistic muscles during surgery was studied in twenty-nine patients. Eight had isolated tendon lacerations in otherwise normal hands. The stimulation technique was not precise enough to equate finger-force or correct minor variations in the are of finger motion. However, in twenty-one hands in which graceful effortless motion had been lost after multiple complicated injuries, faradic stimulation provided a reproducible visual reference for reconstructing functional hands.

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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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