Location of the motor entry point and intramuscular motor point of the tibialis posterior muscle: For effective motor point block
The aim of this study was to elucidate the anatomical location of the motor entry point (MEP) and intramuscular motor point (IMP) of the tibialis posterior muscle for effective motor point block. Thirty‐six fresh specimens from 20 adult Korean cadavers (11 males and 9 females) were investigated. The...
Gespeichert in:
| Veröffentlicht in: | Clinical anatomy (New York, N.Y.) N.Y.), 2011-01, Vol.24 (1), p.91-96 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 96 |
|---|---|
| container_issue | 1 |
| container_start_page | 91 |
| container_title | Clinical anatomy (New York, N.Y.) |
| container_volume | 24 |
| creator | Lee, Je-Hun Lee, Be-Na An, Xiaochun Chung, Rak-Hee Han, Seung-Ho |
| description | The aim of this study was to elucidate the anatomical location of the motor entry point (MEP) and intramuscular motor point (IMP) of the tibialis posterior muscle for effective motor point block. Thirty‐six fresh specimens from 20 adult Korean cadavers (11 males and 9 females) were investigated. The reference line between the most proximal‐medial articular margin of the tibia (MPM) at the level of the knee joint and the most distal point of the malleolus of the tibia (MDM) on the surface were identified. The mean length of the reference line was 326.5 ± 27.1 mm. There were 82.5% of the total number of MEPs located at 10–30% and 67.9% of the total IMPs were 10–40% from the MPM. The safety zone for botulinum toxin (BTX) injections on the medial approach was 10–40% from the MPM. In addition, insertion of the needle to a depth of 3.5 cm from the surface of the skin was effective. These results may assist in determining more accurate localization of injection sites. Clin. Anat. 24:91–96, 2011. © 2011 Wiley‐Liss, Inc. |
| doi_str_mv | 10.1002/ca.21062 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_821481499</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>821481499</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4242-2335592449ddfab1395a08d4b1d0d823b62858940e9ee6d1af33ab8f5d620c1d3</originalsourceid><addsrcrecordid>eNp10E1LwzAYB_Agipsv4CeQ3vRSzVu7xNscvuFQBMVjSJMU49pmJqm6o9_cznWCB08P5Pk9f8gfgAMETxCE-FTJE4xgjjfAEEHOUkwysgmGkPFRShjMB2AnhFcIEaIjtg0GGKGM5pQOwdfUKRmtaxJXJvHFJLWLziemiX6RzJ1tYiIbnXTTy7oNqq2k781q259FW1hZ2dC9hmi87fZLXpmz5HKZV5ZGRftu_twWlVOzPbBVyiqY_X7ugqfLi8fJdTq9v7qZjKepopji7kskyzimlGtdygIRnknINC2QhpphUuSYZYxTaLgxuUayJEQWrMx0jqFCmuyCo1Xu3Lu31oQoahuUqSrZGNcGwTCiDFHOO3m8ksq7ELwpxdzbWvqFQFAs-xZKip--O3rYh7ZFbfQvXBfcgXQFPmxlFv8Gicl4Hdh729X4-euln4l8REaZeL67Egjz29vzyVQ8kG-hnJlT</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>821481499</pqid></control><display><type>article</type><title>Location of the motor entry point and intramuscular motor point of the tibialis posterior muscle: For effective motor point block</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Lee, Je-Hun ; Lee, Be-Na ; An, Xiaochun ; Chung, Rak-Hee ; Han, Seung-Ho</creator><creatorcontrib>Lee, Je-Hun ; Lee, Be-Na ; An, Xiaochun ; Chung, Rak-Hee ; Han, Seung-Ho</creatorcontrib><description>The aim of this study was to elucidate the anatomical location of the motor entry point (MEP) and intramuscular motor point (IMP) of the tibialis posterior muscle for effective motor point block. Thirty‐six fresh specimens from 20 adult Korean cadavers (11 males and 9 females) were investigated. The reference line between the most proximal‐medial articular margin of the tibia (MPM) at the level of the knee joint and the most distal point of the malleolus of the tibia (MDM) on the surface were identified. The mean length of the reference line was 326.5 ± 27.1 mm. There were 82.5% of the total number of MEPs located at 10–30% and 67.9% of the total IMPs were 10–40% from the MPM. The safety zone for botulinum toxin (BTX) injections on the medial approach was 10–40% from the MPM. In addition, insertion of the needle to a depth of 3.5 cm from the surface of the skin was effective. These results may assist in determining more accurate localization of injection sites. Clin. Anat. 24:91–96, 2011. © 2011 Wiley‐Liss, Inc.</description><identifier>ISSN: 0897-3806</identifier><identifier>EISSN: 1098-2353</identifier><identifier>DOI: 10.1002/ca.21062</identifier><identifier>PMID: 21154644</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Aged ; Aged, 80 and over ; Ankle - innervation ; botulinum toxin ; Botulinum Toxins, Type A - administration & dosage ; Female ; Humans ; Injections, Intramuscular ; intramuscular motor point ; Leg - innervation ; Male ; Middle Aged ; motor entry point ; Motor Neurons - cytology ; Motor Neurons - drug effects ; Muscle, Skeletal - anatomy & histology ; Nerve Block - methods ; Neuromuscular Agents - administration & dosage ; spasticity ; Tibial Nerve - anatomy & histology ; Tibial Nerve - drug effects ; tibialis posterior</subject><ispartof>Clinical anatomy (New York, N.Y.), 2011-01, Vol.24 (1), p.91-96</ispartof><rights>Copyright © 2010 Wiley‐Liss, Inc.</rights><rights>Copyright © 2010 Wiley-Liss, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4242-2335592449ddfab1395a08d4b1d0d823b62858940e9ee6d1af33ab8f5d620c1d3</citedby><cites>FETCH-LOGICAL-c4242-2335592449ddfab1395a08d4b1d0d823b62858940e9ee6d1af33ab8f5d620c1d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fca.21062$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fca.21062$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21154644$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Je-Hun</creatorcontrib><creatorcontrib>Lee, Be-Na</creatorcontrib><creatorcontrib>An, Xiaochun</creatorcontrib><creatorcontrib>Chung, Rak-Hee</creatorcontrib><creatorcontrib>Han, Seung-Ho</creatorcontrib><title>Location of the motor entry point and intramuscular motor point of the tibialis posterior muscle: For effective motor point block</title><title>Clinical anatomy (New York, N.Y.)</title><addtitle>Clin. Anat</addtitle><description>The aim of this study was to elucidate the anatomical location of the motor entry point (MEP) and intramuscular motor point (IMP) of the tibialis posterior muscle for effective motor point block. Thirty‐six fresh specimens from 20 adult Korean cadavers (11 males and 9 females) were investigated. The reference line between the most proximal‐medial articular margin of the tibia (MPM) at the level of the knee joint and the most distal point of the malleolus of the tibia (MDM) on the surface were identified. The mean length of the reference line was 326.5 ± 27.1 mm. There were 82.5% of the total number of MEPs located at 10–30% and 67.9% of the total IMPs were 10–40% from the MPM. The safety zone for botulinum toxin (BTX) injections on the medial approach was 10–40% from the MPM. In addition, insertion of the needle to a depth of 3.5 cm from the surface of the skin was effective. These results may assist in determining more accurate localization of injection sites. Clin. Anat. 24:91–96, 2011. © 2011 Wiley‐Liss, Inc.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ankle - innervation</subject><subject>botulinum toxin</subject><subject>Botulinum Toxins, Type A - administration & dosage</subject><subject>Female</subject><subject>Humans</subject><subject>Injections, Intramuscular</subject><subject>intramuscular motor point</subject><subject>Leg - innervation</subject><subject>Male</subject><subject>Middle Aged</subject><subject>motor entry point</subject><subject>Motor Neurons - cytology</subject><subject>Motor Neurons - drug effects</subject><subject>Muscle, Skeletal - anatomy & histology</subject><subject>Nerve Block - methods</subject><subject>Neuromuscular Agents - administration & dosage</subject><subject>spasticity</subject><subject>Tibial Nerve - anatomy & histology</subject><subject>Tibial Nerve - drug effects</subject><subject>tibialis posterior</subject><issn>0897-3806</issn><issn>1098-2353</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10E1LwzAYB_Agipsv4CeQ3vRSzVu7xNscvuFQBMVjSJMU49pmJqm6o9_cznWCB08P5Pk9f8gfgAMETxCE-FTJE4xgjjfAEEHOUkwysgmGkPFRShjMB2AnhFcIEaIjtg0GGKGM5pQOwdfUKRmtaxJXJvHFJLWLziemiX6RzJ1tYiIbnXTTy7oNqq2k781q259FW1hZ2dC9hmi87fZLXpmz5HKZV5ZGRftu_twWlVOzPbBVyiqY_X7ugqfLi8fJdTq9v7qZjKepopji7kskyzimlGtdygIRnknINC2QhpphUuSYZYxTaLgxuUayJEQWrMx0jqFCmuyCo1Xu3Lu31oQoahuUqSrZGNcGwTCiDFHOO3m8ksq7ELwpxdzbWvqFQFAs-xZKip--O3rYh7ZFbfQvXBfcgXQFPmxlFv8Gicl4Hdh729X4-euln4l8REaZeL67Egjz29vzyVQ8kG-hnJlT</recordid><startdate>201101</startdate><enddate>201101</enddate><creator>Lee, Je-Hun</creator><creator>Lee, Be-Na</creator><creator>An, Xiaochun</creator><creator>Chung, Rak-Hee</creator><creator>Han, Seung-Ho</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201101</creationdate><title>Location of the motor entry point and intramuscular motor point of the tibialis posterior muscle: For effective motor point block</title><author>Lee, Je-Hun ; Lee, Be-Na ; An, Xiaochun ; Chung, Rak-Hee ; Han, Seung-Ho</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4242-2335592449ddfab1395a08d4b1d0d823b62858940e9ee6d1af33ab8f5d620c1d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ankle - innervation</topic><topic>botulinum toxin</topic><topic>Botulinum Toxins, Type A - administration & dosage</topic><topic>Female</topic><topic>Humans</topic><topic>Injections, Intramuscular</topic><topic>intramuscular motor point</topic><topic>Leg - innervation</topic><topic>Male</topic><topic>Middle Aged</topic><topic>motor entry point</topic><topic>Motor Neurons - cytology</topic><topic>Motor Neurons - drug effects</topic><topic>Muscle, Skeletal - anatomy & histology</topic><topic>Nerve Block - methods</topic><topic>Neuromuscular Agents - administration & dosage</topic><topic>spasticity</topic><topic>Tibial Nerve - anatomy & histology</topic><topic>Tibial Nerve - drug effects</topic><topic>tibialis posterior</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Je-Hun</creatorcontrib><creatorcontrib>Lee, Be-Na</creatorcontrib><creatorcontrib>An, Xiaochun</creatorcontrib><creatorcontrib>Chung, Rak-Hee</creatorcontrib><creatorcontrib>Han, Seung-Ho</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical anatomy (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Je-Hun</au><au>Lee, Be-Na</au><au>An, Xiaochun</au><au>Chung, Rak-Hee</au><au>Han, Seung-Ho</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Location of the motor entry point and intramuscular motor point of the tibialis posterior muscle: For effective motor point block</atitle><jtitle>Clinical anatomy (New York, N.Y.)</jtitle><addtitle>Clin. Anat</addtitle><date>2011-01</date><risdate>2011</risdate><volume>24</volume><issue>1</issue><spage>91</spage><epage>96</epage><pages>91-96</pages><issn>0897-3806</issn><eissn>1098-2353</eissn><abstract>The aim of this study was to elucidate the anatomical location of the motor entry point (MEP) and intramuscular motor point (IMP) of the tibialis posterior muscle for effective motor point block. Thirty‐six fresh specimens from 20 adult Korean cadavers (11 males and 9 females) were investigated. The reference line between the most proximal‐medial articular margin of the tibia (MPM) at the level of the knee joint and the most distal point of the malleolus of the tibia (MDM) on the surface were identified. The mean length of the reference line was 326.5 ± 27.1 mm. There were 82.5% of the total number of MEPs located at 10–30% and 67.9% of the total IMPs were 10–40% from the MPM. The safety zone for botulinum toxin (BTX) injections on the medial approach was 10–40% from the MPM. In addition, insertion of the needle to a depth of 3.5 cm from the surface of the skin was effective. These results may assist in determining more accurate localization of injection sites. Clin. Anat. 24:91–96, 2011. © 2011 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>21154644</pmid><doi>10.1002/ca.21062</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0897-3806 |
| ispartof | Clinical anatomy (New York, N.Y.), 2011-01, Vol.24 (1), p.91-96 |
| issn | 0897-3806 1098-2353 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_821481499 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aged Aged, 80 and over Ankle - innervation botulinum toxin Botulinum Toxins, Type A - administration & dosage Female Humans Injections, Intramuscular intramuscular motor point Leg - innervation Male Middle Aged motor entry point Motor Neurons - cytology Motor Neurons - drug effects Muscle, Skeletal - anatomy & histology Nerve Block - methods Neuromuscular Agents - administration & dosage spasticity Tibial Nerve - anatomy & histology Tibial Nerve - drug effects tibialis posterior |
| title | Location of the motor entry point and intramuscular motor point of the tibialis posterior muscle: For effective motor point block |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-05T11%3A36%3A06IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Location%20of%20the%20motor%20entry%20point%20and%20intramuscular%20motor%20point%20of%20the%20tibialis%20posterior%20muscle:%20For%20effective%20motor%20point%20block&rft.jtitle=Clinical%20anatomy%20(New%20York,%20N.Y.)&rft.au=Lee,%20Je-Hun&rft.date=2011-01&rft.volume=24&rft.issue=1&rft.spage=91&rft.epage=96&rft.pages=91-96&rft.issn=0897-3806&rft.eissn=1098-2353&rft_id=info:doi/10.1002/ca.21062&rft_dat=%3Cproquest_cross%3E821481499%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=821481499&rft_id=info:pmid/21154644&rfr_iscdi=true |