Intramuscular Neural Distribution of Adductor Pollicis Muscle Spasticity in Cadaver Model Regarding Botulinum Neurotoxin Treatment

Yonsei Med J. 2023 Sep;64(9):581-585. doi: 10.3349/ymj.2023.0111.


PURPOSE: The adductor pollicis muscle is frequently targeted for botulinum neurotoxin injective treatment for spasticity. However, there are no injective guidelines for delivering injection to the muscle.

MATERIALS AND METHODS: A method known as the modified Sihler’s method was used to stain the adductor pollicis muscle in 16 specimens to reveal intramuscular neural distribution of the muscle.

RESULTS: The most intramuscular neural distribution was located on 1/5 to 3/5 of the muscle regarding midline of 3rd metacarpal bone (0) to the base of the 1st proximal phalanx (5/5). The nerve entry point was mostly located on 0 to 1/5 of the muscle.

CONCLUSION: The result suggests that botulinum neurotoxin should be delivered at the middle of second metacarpal bone via deep injection.

PMID:37634635 | DOI:10.3349/ymj.2023.0111


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