Yonsei Med J.
2023 Sep;64(9):581-585. 10.3349/ymj.2023.0111.
Intramuscular Neural Distribution of Adductor Pollicis Muscle Spasticity in Cadaver Model Regarding Botulinum Neurotoxin Treatment
- Affiliations
-
- 1Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, Seoul, Korea
- 2Maylin Clinic (Apgujeong), Seoul, Korea
- 3Haedrin Clinic, Seoul, Korea
- 4Department of Biomedical Informatics, Ajou University School of Medicine, Suwon, Korea
- 5Department of Anatomy and Acupoint, College of Korean Medicine, Gachon University, Seongnam, Korea
- 6Department of Anatomy, Catholic Institute for Applied Anatomy, College of Medicine, The Catholic University of Korea, Seoul, Korea
- KMID: 2545522
- DOI: http://doi.org/10.3349/ymj.2023.0111
Abstract
- Purpose
The adductor pollicis muscle is frequently targeted for botulinum neurotoxin injective treatment for spasticity. However, 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.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Intramuscular neural distribution of the teres minor muscle using Sihler’s stain: application to botulinum neurotoxin injection
- Obturator Nerve Block with Botulinum Toxin Type B for Patient with Adductor Thigh Muscle Spasm: A Case Report
- Botulinum Toxin A Injection into the Subscapularis Muscle to Treat Intractable Hemiplegic Shoulder Pain
- Intramuscular Neural Distribution of the Gastrocnemius for Botulinum Neurotoxin Injection: Application to Cosmetic Calf Shaping
- Rocuronium Onset at the Adductor Pollicis and Masseter Muscles for Endotracheal Intubation in Children
