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Surg Radiol Anat ; 43(12): 2025-2030, 2021 Dec.
Article in English | MEDLINE | ID: covidwho-1351281

ABSTRACT

PURPOSE: This study aimed to detect the idyllic locations for botulinum neurotoxin injection by analyzing the intramuscular neural distributions of the sartorius muscles. METHODS: An altered Sihler's staining was conducted on sartorius muscles (15 specimens). The nerve entry points and intramuscular arborization areas were measured as a percentage of the total distance from the most prominent point of the anterior superior iliac spine (0%) to the medial femoral epicondyle (100%). RESULTS: Intramuscular neural distribution were densely detected at 20-40% and 60-80% for the sartorius muscles. The result suggests that the treatment of sartorius muscle spasticity requires botulinum neurotoxin injections in particular locations. CONCLUSIONS: These locations, corresponding to the locations of maximum arborization, are suggested as the most suggestive points for botulinum neurotoxin injection.


Subject(s)
Botulinum Toxins/administration & dosage , Motor Endplate/anatomy & histology , Muscle Spasticity/drug therapy , Muscle, Skeletal/anatomy & histology , Aged , Aged, 80 and over , Cadaver , Female , Humans , Injections, Intramuscular , Male , Middle Aged , Muscle, Skeletal/innervation , Thigh/anatomy & histology , Thigh/innervation
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