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Intramuscular Neural Distribution of the Gluteus Maximus Muscle: Diagnostic Electromyography and Injective Treatments

Authors
 Kyu-Ho Yi  ;  Dong Chan Kim  ;  Siyun Lee  ;  Hyung-Jin Lee  ;  Ji-Hyun Lee 
Citation
 DIAGNOSTICS, Vol.14(2) : 140, 2024-01 
Journal Title
DIAGNOSTICS
Issue Date
2024-01
Keywords
EMG ; Sihler staining ; botulinum toxin ; gluteus maximus muscle ; intramuscular neural distribution ; spasticity
Abstract
Introduction: The purpose of this study was to investigate neural patterns within the gluteus maximus (Gmax) muscle to identify optimal EMG placement and injection sites for botulinum toxin and other injectable agents.

Methods: This study used 10 fixed and 1 non-fixed adult Korean cadavers. Intramuscular arborization patterns were confirmed in the cranial, middle, and caudal segments of 20 Gmax muscles using Sihler staining. Ultrasound images were obtained from one cadaver, and blue dye was injected using ultrasound guidance to confirm the results.

Results: The intramuscular innervation pattern of the Gmax was mostly in the middle part of this muscle. The nerve endings of the Gmax are mainly located in the 40-70% range in the cranial segment, the 30-60% range in the middle segment, and the 40-70% range in the caudal segment.

Discussion: Addressing the spasticity of the gluteus maximus requires precise, site-specific botulinum toxin injections. The use of EMG and other injection therapies should be guided by the findings of this study. We propose that these specific sites, which correspond to areas with the densest nerve branches, are the safest and most efficient locations for both botulinum toxin injections and EMG procedures.
Files in This Item:
T992024154.pdf Download
DOI
10.3390/diagnostics14020140
Appears in Collections:
2. College of Dentistry (치과대학) > Others (기타) > 1. Journal Papers
Yonsei Authors
Yi, Kyu Ho(이규호)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/201867
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