Which Extremity?-Reply

In Reply.— Dr. Montero is correct that the electromyographic (EMG) findings were in the extensor digitorum brevis muscles of the lower extremity. The finding of EMG abnormalities in distal muscles in a patient with proximal muscle weakness illustrates again that EMG and clinical findings may not always correlate. The upper extremities were involved in the patient's generalized neuromuscular disease, but not enough, evidently, to cause wringing hands. In fact, because of her failure to respond to any treatment, most of the hand wringing was done by her physicians.