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Extra- and intramuscular nerves distributions of the triceps surae muscle as a basis for muscle resection and botulinum toxin injections

Authors
 V. A. Sheverdin  ;  M. S. Hur  ;  S. Y. Won  ;  W. C. Song  ;  K. S. Hu  ;  K. S. Koh  ;  H. J. Kim 
Citation
 SURGICAL AND RADIOLOGIC ANATOMY, Vol.31(8) : 615-621, 2009 
Journal Title
 SURGICAL AND RADIOLOGIC ANATOMY 
ISSN
 0930-1038 
Issue Date
2009
MeSH
Aged ; Aged, 80 and over ; Botulinum Toxins/administration & dosage ; Female ; Humans ; Injections ; Leg/innervation* ; Leg/surgery ; Male ; Middle Aged ; Muscle, Skeletal/innervation* ; Muscle, Skeletal/surgery
Keywords
Triceps surae ; Innervation ; Resection ; Botulinum toxin ; Sihler’s staining
Abstract
PURPOSE: To compare the distribution of extramuscular nerve branches with their intramuscular ramifications in the triceps surae muscle, thus providing anatomical substantiation for the topography of muscle resection and botulinum toxin injections. METHODS: Dissection and modified Sihler's staining of 18 whole-mount human cadaveric specimens. RESULTS: The distance between the areas with the highest extramuscular branch density and the area of densest intramuscular arborization in gastrocnemius and soleus muscles is approximately 10% of the calf length. This finding should be taken into consideration during nerve blocking and botulinum toxin injections for the treatment of spasticity. Intramuscular nerve arborization patterns make it possible to outline neuromuscular segments in the gastrocnemius and soleus muscles. CONCLUSIONS: Surgical or therapeutic interventions in areas of high extramuscular and intramuscular nerve density can increase the efficacy and safety of botulinum toxin injections and neurotomy. Intramuscular nerve branching patterns should be taken into consideration during triceps surae resection.
Full Text
http://link.springer.com/article/10.1007%2Fs00276-009-0490-2
DOI
10.1007/s00276-009-0490-2
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Oral Biology (구강생물학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hee Jin(김희진) ORCID logo https://orcid.org/0000-0002-1139-6261
Hu, Kyung Seok(허경석) ORCID logo https://orcid.org/0000-0002-9048-3805
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/105330
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