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Determination of Injection Site in Flexor Digitorum Longus for Effective and Safe Botulinum Toxin Injection

박남수|정명은|김주영|오창훈|송대현|설보미|김홍금
대한재활의학회 (Korean Academy Of Rehabilitation Medicine)|2015.02|Annals of Rehabilitation Medicine|제39권 제1호|pp. 32-38

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참고문헌

키워드

SpasticityBotulinum toxinsFlexor digitorum longusClaw toes
주제분류재활의학

초록

Objective To determine the optimal injection site in the flexor digitorum longus (FDL) muscle for effective botulinum toxin injection.Methods Fourteen specimens from eight adult Korean cadavers were used in this study. The most proximal medial point of the tibia plateau was defined as the proximal reference point; the most distal tip of the medial malleolus was defined as the distal reference point. The distance of a line connecting the proximal and distal reference points was defined as the reference length. The X-coordinate was the distance from the proximal reference point to the intramuscular motor endpoint (IME), or motor entry point (MEP) on the reference line, and the Y-coordinate was the distance from the nearest point from MEP on the medial border of the tibia to the MEP. IME and MEP distances from the proximal reference point were evaluated using the raw value and the X-coordinate to reference length ratio was determined as a percentage.Results The majority of IMEs were located within 30%–60% of the reference length from the proximal reference point. The majority of the MEPs were located within 40%–60% of the reference length from the proximal reference point.Conclusion We recommend the anatomical site for a botulinum toxin injection in the FDL to be within a region 30%–60% of the reference length from the proximal reference point.

Abstract

Objective To determine the optimal injection site in the flexor digitorum longus (FDL) muscle for effective botulinum toxin injection.Methods Fourteen specimens from eight adult Korean cadavers were used in this study. The most proximal medial point of the tibia plateau was defined as the proximal reference point; the most distal tip of the medial malleolus was defined as the distal reference point. The distance of a line connecting the proximal and distal reference points was defined as the reference length. The X-coordinate was the distance from the proximal reference point to the intramuscular motor endpoint (IME), or motor entry point (MEP) on the reference line, and the Y-coordinate was the distance from the nearest point from MEP on the medial border of the tibia to the MEP. IME and MEP distances from the proximal reference point were evaluated using the raw value and the X-coordinate to reference length ratio was determined as a percentage.Results The majority of IMEs were located within 30%–60% of the reference length from the proximal reference point. The majority of the MEPs were located within 40%–60% of the reference length from the proximal reference point.Conclusion We recommend the anatomical site for a botulinum toxin injection in the FDL to be within a region 30%–60% of the reference length from the proximal reference point.

참고문헌 (38)

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