Intramuscular Neural Distribution of Adductor Pollicis Muscle Spasticity in Cadaver Model Regarding Botulinum Neurotoxin Treatment

被引：2

作者：

Yi, Kyu-Ho ^{[1
,2
]}

Lee, Kang-Woo ^{[1
]}

Hwang, Yousun ^{[3
]}

An, Min Ho ^{[4
]}

Ahn, Hyo-Sang ^{[1
]}

Hu, Hyewon ^{[1
]}

Lee, Ji-Hyun ^{[5
,7
]}

Lee, Hyung-Jin ^{[6
,8
]}

机构：

[1] Yonsei Univ, Human Identificat Res Inst, Dept Oral Biol, BK21 FOUR Project,Coll Dent,Div Anat & Dev Biol, Seoul, South Korea

[2] Maylin Clin Apgujeong, Seoul, South Korea

[3] Haedrin Clin, Seoul, South Korea

[4] Ajou Univ, Sch Med, Dept Biomed Informat, Suwon, South Korea

[5] Gachon Univ, Coll Korean Med, Dept Anat & Acupoint, Seongnam, South Korea

[6] Catholic Univ Korea, Catholic Inst Appl Anat, Coll Med, Dept Anat, Seoul, South Korea

[7] Gachon Univ, Coll Korean Med, Dept Anat & Acupoint, 1342 Seongnam daero, Seongnam 13120, South Korea

[8] Catholic Univ Korea, Catholic Inst Appl Anat, Coll Med, Dept Anat, 222 Banpo Daero, Seoul 06591, South Korea

来源：

YONSEI MEDICAL JOURNAL | 2023年 / 64卷 / 09期

关键词：

Adductor pollicis muscle; Sihler's method; botulinum neurotoxin; spasticity; injection; intramuscular neural distribution; TOXIN TYPE-A; CEREBRAL-PALSY; UPPER-LIMB; CHILDREN; INJECTIONS; DIFFUSION;

D O I：

10.3349/ymj.2023.0111

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose: The adductor pollicis muscle is frequently targeted for botulinum neurotoxin injective treatment for spasticity. Howev-er, there are no injective guidelines for delivering injection to the muscle. Materials and Methods: A method known as the modified Sihler's method was used to stain the adductor pollicis muscle in 16 specimens to reveal intramuscular neural distribution of the muscle. Results: The most intramuscular neural distribution was located on 1/5 to 3/5 of the muscle regarding midline of 3rd metacarpal bone (0) to the base of the 1st proximal phalanx (5/5). The nerve entry point was mostly located on 0 to 1/5 of the muscle.Conclusion: The result suggests that botulinum neurotoxin should be delivered at the middle of second metacarpal bone via deep injection.

引用

页码：581 / 585

页数：5

共 15 条

[1] A practical guide to botulinum neurotoxin treatment of teres major muscle in shoulder spasticity: Intramuscular neural distribution of teres major muscle in cadaver model
Yi, Kyu-Ho
Lee, Kang-Woo
Hu, Hye-Won
Lee, Ji-Hyun
Lee, Hyung-Jin
PM&R, 2024, 16 (02) : 160 - 164
[2] Intramuscular neural distribution of the vastus medialis for botulinum neurotoxin injection: application to spasticity
Yi, Kyu-Ho
Hu, Hyewon
Hwang, Sung-Oh
Ahn, Haeryun
Lee, Ji-Hyun
Lee, Hyung-Jin
SURGICAL AND RADIOLOGIC ANATOMY, 2024, 46 (12) : 2067 - 2073
[3] Distribution of the intramuscular innervation of the triceps brachii: Clinical importance in the treatment of spasticity with botulinum neurotoxin
Yi, Kyu-Ho
Lee, Ji-Hyun
Hur, Hye-Won
Lee, Hyung-Jin
Choi, You-Jin
Kim, Hee-Jin
CLINICAL ANATOMY, 2023, 36 (07) : 964 - 970
[4] Intramuscular Neural Distribution of the Serratus Anterior Muscle: Regarding Botulinum Neurotoxin Injection for Treating Myofascial Pain Syndrome
Yi, Kyu-Ho
Lee, Ji-Hyun
Kim, Hee-Jin
TOXINS, 2022, 14 (04)
[5] Intramuscular neural distribution of the obturator internus muscle regarding injective treatment
Yi, Kyu-Ho
An, Min Ho
Lee, Ji-Hyun
Lee, Hyung-Jin
SURGICAL AND RADIOLOGIC ANATOMY, 2023, 45 (10) : 1239 - 1244
[6] Intramuscular neural distribution of the obturator internus muscle regarding injective treatment
Kyu-Ho Yi
Min Ho An
Ji-Hyun Lee
Hyung-Jin Lee
Surgical and Radiologic Anatomy, 2023, 45 : 1239 - 1244
[7] Intramuscular neural distribution of the teres minor muscle using Sihler's stain: application to botulinum neurotoxin injection
Yi, Kyu-Ho
Kim, Soo-Bin
Lee, Kangwoo
Hu, Hyewon
Lee, Ji-Hyun
Lee, Hyung-Jin
ANATOMY & CELL BIOLOGY, 2023, 56 (03) : 322 - 327
[8] Hip Adductor Intramuscular Nerve Distribution Pattern of Children: A Guide for BTX-A Treatment to Muscle Spasticity in Cerebral Palsy
Yan, Yan
Fu, Xiaoyun
Xie, Xiadan
Ji, Songling
Luo, Huaixiang
Yang, Fangjiu
Zhang, Xiaoming
Yang, Shengbo
Xie, Peng
FRONTIERS IN NEUROLOGY, 2019, 10
[9] Intramuscular Neural Distribution of the Gastrocnemius for Botulinum Neurotoxin Injection: Application to Cosmetic Calf Shaping
Yi, Kyu-Ho
Park, Hyun Jin
Kim, Jin-Hyun
Kim, Seon-Oh
Cheon, Gwahn Woo
An, Min Ho
Lee, Hyung-Jin
Lee, Ji-Hyun
YONSEI MEDICAL JOURNAL, 2023, 64 (08) : 511 - 517
[10] Intramuscular Neural Arborization of the Latissimus Dorsi Muscle: Application of Botulinum Neurotoxin Injection in Flap Reconstruction
Yi, Kyu-Ho
Lee, Hyung-Jin
Seo, Kyle K.
Kim, Hee-Jin
TOXINS, 2022, 14 (02)

← 1 2 →