Intramuscular neural distribution of the obturator internus muscle regarding injective treatment.
Botulinum neurotoxin
Intramuscular neural distribution
Obturator internus muscle
Sihler’s method
Trigger point injection
Journal
Surgical and radiologic anatomy : SRA
ISSN: 1279-8517
Titre abrégé: Surg Radiol Anat
Pays: Germany
ID NLM: 8608029
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
received:
28
04
2023
accepted:
22
07
2023
pubmed:
11
8
2023
medline:
11
8
2023
entrez:
11
8
2023
Statut:
ppublish
Résumé
The obturator internus muscle is frequently targeted for injective treatments such as botulinum toxin injections in the management of pain syndromes. However, there are controversies over injective method delivering injection to the muscle. A method called modified Sihler's method was used to stain the OI muscle in 16 specimens to reveal the intramuscular neural distribution of the muscle. The greatest intramuscular neural distribution was located on the 2/10-4/10 of the muscle in the medial edge of the obturator foramen (0/0) to the greater trochanter of the femur (10/10). The result suggests that botulinum neurotoxin should be delivered in the intrapelvic portion of the obturator internus muscle. As most of the extrapelvic portion of the obturator muscle is composed of a tendinous portion, it should be considered unsuitable as an injection site by medical professionals.
Identifiants
pubmed: 37566257
doi: 10.1007/s00276-023-03216-6
pii: 10.1007/s00276-023-03216-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1239-1244Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.
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