Clinical Procedure
 
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If using a nerve stimulator technique, isolated calf muscle contraction should not be accepted. May be the result of stimulation of the sciatic nerve branches to the calf muscles that may be outside the sciatic n. sheath refl.in/93

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Landmarks for anterior approach refl.in/2l

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Landmarks for lateral approach: Popliteal fossa crease, vastus lateralis, and biceps femoris muscles. refl.in/96 from refl.in/95

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Landmarks for popliteal fossa approach refl.in/2m

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Landmarks for posterior approach refl.in/2k

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Nerve stimulator technique. Nysora: refl.in/93

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The sciatic nerve is not well visualized when the transducer is perpendicular to the skin due to a poor angle of incidence. refl.in/6b

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Popliteal fossa: Asking the patient to lift the foot off the table can be used to accentuate the landmarks in patients in whom the landmarks are not immediately apparent. refl.in/93

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Popliteal fossa: Well-suited for surgery on the calf, ankle, & foot. Provides complete analgesia for the calf tourniquet without the need for supplementary blocks of saphenous nerve refl.in/93

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Jul 10, 2011
What about surgery to the medial calf/ankle which is supplied by saphenous??