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Neurologic Diagnosis
Published in Philip B. Gorelick, Fernando D. Testai, Graeme J. Hankey, Joanna M. Wardlaw, Hankey's Clinical Neurology, 2020
The sternocleidomastoid muscle both flexes the head and rotates it to the opposite side. Note that the cerebral hemisphere innervates the contralateral trapezius and the ipsilateral sternocleidomastoid.
Surgical Management of Parathyroid Disorders
Published in Madan Laxman Kapre, Thyroid Surgery, 2020
Neeti Kapre Gupta, Gregory W. Randolph, Dipti Kamani
For primary hyperparathyroidism caused by single adenoma, resection of the involved gland is considered adequate surgery. Intra-operative PTH monitoring criteria (mentioned in detail below) guide the surgeon toward successful removal of the gland in question. For multiglandular hyperplasia and syndromic HPT, the choice remains between three to three and a half gland resection, that is subtotal parathyroidectomy versus total parathyroidectomy with auto-graft. Since subsequent neck surgery for medullary carcinoma thyroid is suspected in MEN 2 syndromes, the remnant parathyroid should preferably be transplanted in the forearm muscle brachioradialis. For other scenarios, the sternocleidomastoid muscle is a suitable alternative. The auto-graft should be marked with titanium clips or non-absorbable sutures for ease of identification in case of re-operative parathyroid or thyroid surgery.
Nina: The Use of Potent Opioids in a Complex Chronic Pain Patient
Published in Michael S. Margoles, Richard Weiner, Chronic PAIN, 2019
She was next seen on 8/2/95. My note reads: “Overall, continues to improve.” She was somewhere in between mild to moderate distress, alert, coherent, no slurred speech, good cognition, no evidence of drug toxicity, and had no problems understanding what I was saying. Once again, it was noted that some of her main problem areas were in the muscles at the neck/shoulder junction, with most problems on the right side. There were also areas of pain indicated in the right sternocleidomastoid muscle.
Comparison of Skeletal Muscle Changes at Three Vertebral Levels Following Radiotherapy in Patients With Oropharyngeal Carcinoma
Published in Nutrition and Cancer, 2023
Belinda Vangelov, Judith Bauer, Daniel Moses, Robert Smee
Progressive depletion of muscle over a 9-month period was investigated by Lee et al. (44) using C3-CSA applying the Swartz et al. (18) model. A decrease in SMI was demonstrated over time using the converted measures, yet again, this was not compared to actual measures at L3. Atrophy of the sternocleidomastoid muscles is likely to occur and progress during the three years following intensity-modulated RT in patients with nasopharyngeal carcinoma for example and is associated with neck weakness, however, again, this is unlikely in the time frame of our study (45). We did not investigate changes in individual muscles; however, this may be required at the level of C3 to interpret where and why muscle hypertrophy occurred based on their specific function, and potential reaction to radiation delivered to the area.
Pre-anaesthetic ultrasonographic assessment of neck vessels as predictors of spinal anaesthesia induced hypotension in the elderly: A prospective observational study
Published in Egyptian Journal of Anaesthesia, 2022
Bassant M. Abdelhamid, Abeer Ahmed, Mai Ramzy, Ashraf Rady, Haitham Hassan
Ultrasonographic examination of the right IJV was conducted with the patient supine while the neck rotated to the left (at only an approximate 40° to avoid venous occlusion at the opposite side). A linear probe with a 7–12 MHz frequency and a depth of 3 cm (Siemens ACUSON X300 Ultrasound Systems) was gently placed over the neck. The sternocleidomastoid muscle was used as an external landmark. The right IJV was identified just below the bifurcation of the sternal and clavicular heads of the muscle. The right JIV was examined over three full respiratory cycles using the M- mode in the transverse axis. The maximum IJV-D and IJV-A were recorded during each cycle, and the averages were computed. Then, using a protractor set on the operating table, the patient was placed at a 10° Trendelenburg position, and the same ultrasonographic measurements were repeated [18]. (Figure 1).
Cluster subgroups based on overall pressure pain sensitivity and psychosocial factors in chronic musculoskeletal pain: Differences in clinical outcomes
Published in Physiotherapy Theory and Practice, 2019
Suzana C Almeida, Steven Z George, Raquel D. V Leite, Anamaria S Oliveira, Thais C Chaves
The points evaluated by algometry were the thenar region of the nondominant hand and the nine sites described by the American College of Rheumatology (Wolfe et al., 1990), including the following: 1) sternal border of the sternocleidomastoid muscle above the head of the clavicle; 2) midpoint of the upper trapezius muscle; 3) second rib, lateral to the costochondral junction, on the upper surface (request contraction of the pectoralis major); 4) 2–4 cm distal to the lateral epicondyle (m. brachioradialis); 5) medial knee fat, proximal to the joint interline; 6) insertion of the suboccipital muscle; 7) supraspinatus insertion above the spine of the scapula, near the upper edge; 8) superolateral quadrant of the buttock, anterior to the muscle (contraction of the gluteus maximus); and 9) posterior to the greater trochanter.