Accuracy of non-guided versus ultrasound-guided injections in cervical muscles: a cadaver study.
Cadaver
Injection accuracy
Neck muscles
Ultrasonography
Journal
Journal of neurology
ISSN: 1432-1459
Titre abrégé: J Neurol
Pays: Germany
ID NLM: 0423161
Informations de publication
Date de publication:
May 2021
May 2021
Historique:
received:
22
09
2020
accepted:
09
12
2020
pubmed:
6
1
2021
medline:
22
6
2021
entrez:
5
1
2021
Statut:
ppublish
Résumé
The col-cap concept encouraged neurologists to inject a large group of muscles in the treatment of cervical dystonia. This includes deep muscles such as the obliquus capitis inferior or the semispinalis capitis, and muscles close to vascular or neurological structures such as scalene muscles. Our aim was to determine the accuracy of injections in cervical muscles using ultrasonography (US) or palpation of anatomical landmarks. A mix of paint, gelatin and iodized contrast agent was injected in nine pairs of cervical muscles of human cadavers, according to two injection techniques: US-guided and non-guided. The dye was localized on 1 cm-thick, frozen slices. A total of 102 muscles was injected in the US-guided group (n = 8). The global accuracy was 88.2%. The lowest accuracy was in the OCI (41.7%); trying to avoid the vertebral artery, injections were too medial. A total of 54 muscles was injected in the non-guided group (n = 3). The global accuracy was 48.0%; moreover, some dye was found in four blood vessels. The embalming process produced texture changes, making difficult the palpation of bony landmarks. Our results indicate that US-guided injections are more accurate than non-guided injections in most cervical muscles.
Identifiants
pubmed: 33399965
doi: 10.1007/s00415-020-10365-w
pii: 10.1007/s00415-020-10365-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1894-1902Références
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