Botulinum toxin injection site localization for the tibialis posterior muscle

被引：34

作者：

Oddy, Michael J. ^{[2
]}

Brown, Christopher ^{[3
]}

Mistry, Rikki ^{[3
]}

Eastwood, Deborah M. ^{[1
]}

机构：

[1] Great Ormond St Hosp Sick Children, Dept Orthopaed, London WC1N 3JH, England

[2] Royal Natl Orthopaed Hosp, Stanmore HA7 4LP, Middx, England

[3] UCL, Dept Anat, London, England

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2006年 / 15卷 / 06期

关键词：

anatomy; botulinum toxin; tibialis posterior; ultrasound;

D O I：

10.1097/01.bpb.0000228387.94065.ff

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Thirty-one cadaveric lower limbs were dissected to identify the innervation of the tibialis posterior muscle to aid localization of the injection site for botulinum toxin for the treatment of an equinovarus deformity. A posterior midline surface-anatomy axis was defined from the level of the head of the fibula proximally to the intermalleolar axis distally. The nerve to tibialis posterior branched from the tibial trunk 13.4% down this axis and entered the muscle 22.1% along the same axis, within 1 cm of the midline. We also report the use of ultrasound for muscle localization at the level of the anatomically defined motor point. J Pediatr Orthop B 15:414-417 (C) 2006 Lippincott Williams & Wilkins.

引用

页码：414 / 417

页数：4

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