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
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

1239-1244

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.

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Auteurs

Kyu-Ho Yi (KH)

Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seoul, 03722, Republic of Korea.

Min Ho An (MH)

Department of Biomedical Informatics, Ajou University School of Medicine, Suwon, Republic of Korea.

Ji-Hyun Lee (JH)

Department of Anatomy and Acupoint, College of Korean Medicine, Gachon University, 1332 Seongnam-daero, 13120, Seongnam-si, Republic of Korea. anatomy@gachon.ac.kr.

Hyung-Jin Lee (HJ)

Department of Anatomy, College of Medicine, Catholic Institute for Applied Anatomy, The Catholic University of Korea, Seoul, 06591, Republic of Korea. leehj221@catholic.ac.kr.

Classifications MeSH