闭孔内肌的肌内神经分布与注射治疗有关。

IF 1.2 4区医学 Q3 ANATOMY & MORPHOLOGY Surgical and Radiologic Anatomy Pub Date : 2023-10-01 Epub Date: 2023-08-11 DOI:10.1007/s00276-023-03216-6

Kyu-Ho Yi, Min Ho An, Ji-Hyun Lee, Hyung-Jin Lee

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引用次数: 0

摘要

引言：闭孔内肌经常作为注射治疗的靶点，如肉毒杆菌毒素注射治疗疼痛综合征。然而，对于向肌肉注射的注射方法存在争议。方法：采用改良Sihler法对16例OI肌进行染色，以揭示肌肉的肌内神经分布。结果：最大肌内神经分布在闭孔内侧缘（0/0）至股骨大转子（10/10）的肌肉的2/10-4/10。由于闭孔肌的大部分骨盆外部分由腱部组成，因此医学专业人员应认为它不适合作为注射部位。

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Intramuscular neural distribution of the obturator internus muscle regarding injective treatment.

Introduction: 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.

Method: 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.

Result: 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).

Conclusion: 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.

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来源期刊

Surgical and Radiologic Anatomy ANATOMY & MORPHOLOGY-RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

CiteScore

2.70

自引率

14.30%

发文量

183

审稿时长

4-8 weeks

期刊介绍： Anatomy is a morphological science which cannot fail to interest the clinician. The practical application of anatomical research to clinical problems necessitates special adaptation and selectivity in choosing from numerous international works. Although there is a tendency to believe that meaningful advances in anatomy are unlikely, constant revision is necessary. Surgical and Radiologic Anatomy, the first international journal of Clinical anatomy has been created in this spirit. Its goal is to serve clinicians, regardless of speciality-physicians, surgeons, radiologists or other specialists-as an indispensable aid with which they can improve their knowledge of anatomy. Each issue includes: Original papers, review articles, articles on the anatomical bases of medical, surgical and radiological techniques, articles of normal radiologic anatomy, brief reviews of anatomical publications of clinical interest. Particular attention is given to high quality illustrations, which are indispensable for a better understanding of anatomical problems. Surgical and Radiologic Anatomy is a journal written by anatomists for clinicians with a special interest in anatomy.