0 28

Cited 0 times in

Distribution of the intramuscular innervation of the triceps brachii: Clinical importance in the treatment of spasticity with botulinum neurotoxin

Authors
 Kyu-Ho Yi  ;  Ji-Hyun Lee  ;  Hye-Won Hur  ;  Hyung-Jin Lee  ;  You-Jin Choi  ;  Hee-Jin Kim 
Citation
 CLINICAL ANATOMY, Vol.36(7) : 964-970, 2023-10 
Journal Title
CLINICAL ANATOMY
ISSN
 0897-3806 
Issue Date
2023-10
MeSH
Botulinum Toxins* ; Clinical Relevance ; Humans ; Muscle Spasticity / drug therapy ; Muscle, Skeletal / innervation
Keywords
Sihler's method ; botulinum toxin ; spasticity ; triceps brachii muscle
Abstract
This study aimed to identify ideal sites for botulinum toxin injection by analyzing the intramuscular nerve patterns of the triceps brachii muscles. A modified Sihler's method was applied to the triceps brachii muscle (15 specimens), with long, medial, and lateral heads. The intramuscular arborization areas of the long, medial, and lateral heads of the triceps brachii muscle were measured as a percentage of the total distance from the midpoint of the olecranon (0%) to the anteroinferior point of the acromion (100%), by dividing the medial and lateral parts based on the line connecting the midpoint of the olecranon and the anteroinferior point of the acromion. Intramuscular arborization patterns were observed at the long head at two medial regions, proximally 30%-50% and distally 60%-70%; medial head of 30%-40%; and lateral head of 30%-60%. These results suggest that the treatment of spasticity of the triceps brachii muscles involves botulinum toxin injections in specific areas. The areas corresponding to the areas of maximum arborization are recommended as the most effective and safe points for botulinum toxin injection.
Full Text
https://onlinelibrary.wiley.com/doi/10.1002/ca.24004
DOI
10.1002/ca.24004
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Oral Biology (구강생물학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Others (기타) > 1. Journal Papers
Yonsei Authors
Kim, Hee Jin(김희진) ORCID logo https://orcid.org/0000-0002-1139-6261
Choi, You Jin(최유진) ORCID logo https://orcid.org/0000-0003-3701-2200
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/199347
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links