Toliopoulos Alexandros
Neurology, Rehabilitation and Sports Medicine Clinic Evosmos, Thessaloniki, GRC.
Sports Medicine, Rehabilitation and Sports Medicine Clinic Evosmos, Thessaloniki, GRC.
Cureus. 2023 Sep 12;15(9):e45073. doi: 10.7759/cureus.45073. eCollection 2023 Sep.
This technical report presents an innovative approach utilizing in-plane ultrasound-guided injections to precisely target the lumbrical and interosseous muscles within the upper limb. The report also elucidates the rationale and advantages of incorporating ultrasound guidance in the administration of Botulinum toxin (BTX) injections, encompassing the real-time visualization of needle trajectory and accurate localization of the target muscle groups while delving into the pertinent anatomical details of these muscles and their significance in diverse neuromuscular conditions. The step-by-step procedure for conducting in-plane ultrasound-guided BTX injections to the lumbrical and interosseous muscles is delineated, emphasizing critical technical considerations and potential pitfalls to be vigilant of during the procedure. Furthermore, the article addresses the significance of selecting appropriate BTX dosages and injection sites based on individual patient presentations and clinical indications. Overall, the in-plane ultrasound-guided BTX injection technique presents a promising approach for providing precise and targeted treatment to the lumbrical and interosseous muscles in the upper limb. It offers clinicians an alternative to injections performed without guidance or out-of-plane ultrasound-guided injections, potentially decreasing the likelihood of complications and enhancing treatment outcomes for patients with a range of neuromuscular conditions. However, further research and comparative studies are necessary to establish the long-term efficacy and safety of this technique, thus confirming its role in clinical practice.
本技术报告介绍了一种创新方法，即利用平面内超声引导注射精确靶向上肢的蚓状肌和骨间肌。该报告还阐明了在肉毒杆菌毒素（BTX）注射中纳入超声引导的原理和优势，包括实时可视化针道以及准确定位目标肌群，同时深入探讨了这些肌肉的相关解剖细节及其在各种神经肌肉疾病中的意义。文中详细描述了对蚓状肌和骨间肌进行平面内超声引导BTX注射的逐步操作程序，强调了关键的技术要点以及操作过程中需警惕的潜在陷阱。此外，本文还讨论了根据个体患者表现和临床指征选择合适的BTX剂量和注射部位的重要性。总体而言，平面内超声引导BTX注射技术为上肢蚓状肌和骨间肌提供精确靶向治疗提供了一种有前景的方法。它为临床医生提供了一种替代无引导注射或平面外超声引导注射的选择，有可能降低并发症的发生率，并改善一系列神经肌肉疾病患者的治疗效果。然而，需要进一步的研究和比较研究来确定该技术的长期疗效和安全性，从而确认其在临床实践中的作用。
