ELECTROMYOGRAPHYAND

UPPER EXTREMITY DISORDERS

Jonathan S. Rutchik, MD, MPH, QMENeurology, Neurotoxicology, Occupational and Environmental Medicine

San Francisco Bay area, CaliforniaSF, RICHMOND, PETALUMA

SACRAMENTO AND ARCATAjsrutch@neoma.com

WEBSITE: http://www.neoma.comO: 415-381-3133, F: 415-381-3131

JS Rutchik, MD, MPH www.neoma.com

2

JSR Background• BOARD CERTIFIED in Neurology • Neurology residency:

– Mount Sinai Medical Center. NY, NY.

• Fellowship Occ/ Env Neurology; – Boston University Medical Center – Electromyography training Beth Israel Medical Center

• BOARD CERTIFIED in Occ/ Env Medicine• Occupational/ Environmental Medicine residency;

– Boston University Medical Center

• Master’s in Public Health; BU SPH

JS Rutchik, MD, MPH www.neoma.com

3

MEDIAN NERVE

JS Rutchik, MD, MPH www.neoma.com

4

ANATOMY OF MEDIAN NERVE

JS Rutchik, MD, MPH www.neoma.com

5

MEDIAN MOTOR STUDY

JS Rutchik, MD, MPH www.neoma.com

6

MEDIAN MOTOR STUDY

JS Rutchik, MD, MPH www.neoma.com

7

BRACHIAL PLEXUS

JS Rutchik, MD, MPH www.neoma.com

8

SENSORY STUDIES

JS Rutchik, MD, MPH www.neoma.com

9

F WAVE EXPLANATION

JS Rutchik, MD, MPH www.neoma.com

10

JS Rutchik, MD, MPH www.neoma.com

11

COMPARISON STUDIESACROSS THE WRIST

JS Rutchik, MD, MPH www.neoma.com

12

JS Rutchik, MD, MPH www.neoma.com

13

JS Rutchik, MD, MPH www.neoma.com

14

JS Rutchik, MD, MPH www.neoma.com

15

JS Rutchik, MD, MPH www.neoma.com

16

4 CASES WITH NCV AND EMG DATA