Cargando…
Anatomo-sonographic identification of the longissimus capitis and splenius cervicis muscles: principles for possible application to ultrasound-guided botulinum toxin injections in cervical dystonia
OBJECTIVE: The main objective of this study was to define and verify anatomo-sonographic landmarks for ultrasound-guided injection of botulinum toxin into the longissimus capitis (LC) and splenius cervicis (SC) muscles. METHODS AND RESULTS: After a preliminary work of anatomical description of the L...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Paris
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8164608/ https://www.ncbi.nlm.nih.gov/pubmed/33459837 http://dx.doi.org/10.1007/s00276-020-02646-w |
_version_ | 1783701153553317888 |
---|---|
author | Brumpt, Eleonore Aubry, Sebastien Vuillier, Fabrice Tatu, Laurent |
author_facet | Brumpt, Eleonore Aubry, Sebastien Vuillier, Fabrice Tatu, Laurent |
author_sort | Brumpt, Eleonore |
collection | PubMed |
description | OBJECTIVE: The main objective of this study was to define and verify anatomo-sonographic landmarks for ultrasound-guided injection of botulinum toxin into the longissimus capitis (LC) and splenius cervicis (SC) muscles. METHODS AND RESULTS: After a preliminary work of anatomical description of the LC and SC muscles, we identified these muscles on two cadavers and then on a healthy volunteer using ultrasound and magnetic resonance imaging (MRI) to establish a radio-anatomical correlation. We defined an anatomo-sonographic landmark for the injection of each of these muscles. The correct positioning of vascular glue into the LC muscle and a metal clip into the SC muscle of a fresh cadaver as verified by dissection confirmed the utility of the selected landmarks. DISCUSSION: For the LC muscle, the intramuscular tendon of the cranial part of the muscle appears to be a reliable anatomical landmark. The ultrasound-guided injection can be performed within the cranial portion of the muscle, between the intra-muscular tendon and insertion into the mastoid process at dens of the axis level. For the SC muscle, the surface topographic landmarks of the spinous processes of the C4–C5 vertebrae and the muscle body of the levator scapulae muscle seem to be reliable landmarks. From these, the ultrasound-guided injection can be carried out laterally by transfixing the body of the levator scapulae. CONCLUSION: The study defined two cervical anatomo-sonographic landmarks for injecting the LC and SC muscles. |
format | Online Article Text |
id | pubmed-8164608 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Paris |
record_format | MEDLINE/PubMed |
spelling | pubmed-81646082021-06-17 Anatomo-sonographic identification of the longissimus capitis and splenius cervicis muscles: principles for possible application to ultrasound-guided botulinum toxin injections in cervical dystonia Brumpt, Eleonore Aubry, Sebastien Vuillier, Fabrice Tatu, Laurent Surg Radiol Anat Original Article OBJECTIVE: The main objective of this study was to define and verify anatomo-sonographic landmarks for ultrasound-guided injection of botulinum toxin into the longissimus capitis (LC) and splenius cervicis (SC) muscles. METHODS AND RESULTS: After a preliminary work of anatomical description of the LC and SC muscles, we identified these muscles on two cadavers and then on a healthy volunteer using ultrasound and magnetic resonance imaging (MRI) to establish a radio-anatomical correlation. We defined an anatomo-sonographic landmark for the injection of each of these muscles. The correct positioning of vascular glue into the LC muscle and a metal clip into the SC muscle of a fresh cadaver as verified by dissection confirmed the utility of the selected landmarks. DISCUSSION: For the LC muscle, the intramuscular tendon of the cranial part of the muscle appears to be a reliable anatomical landmark. The ultrasound-guided injection can be performed within the cranial portion of the muscle, between the intra-muscular tendon and insertion into the mastoid process at dens of the axis level. For the SC muscle, the surface topographic landmarks of the spinous processes of the C4–C5 vertebrae and the muscle body of the levator scapulae muscle seem to be reliable landmarks. From these, the ultrasound-guided injection can be carried out laterally by transfixing the body of the levator scapulae. CONCLUSION: The study defined two cervical anatomo-sonographic landmarks for injecting the LC and SC muscles. Springer Paris 2021-01-18 2021 /pmc/articles/PMC8164608/ /pubmed/33459837 http://dx.doi.org/10.1007/s00276-020-02646-w Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Brumpt, Eleonore Aubry, Sebastien Vuillier, Fabrice Tatu, Laurent Anatomo-sonographic identification of the longissimus capitis and splenius cervicis muscles: principles for possible application to ultrasound-guided botulinum toxin injections in cervical dystonia |
title | Anatomo-sonographic identification of the longissimus capitis and splenius cervicis muscles: principles for possible application to ultrasound-guided botulinum toxin injections in cervical dystonia |
title_full | Anatomo-sonographic identification of the longissimus capitis and splenius cervicis muscles: principles for possible application to ultrasound-guided botulinum toxin injections in cervical dystonia |
title_fullStr | Anatomo-sonographic identification of the longissimus capitis and splenius cervicis muscles: principles for possible application to ultrasound-guided botulinum toxin injections in cervical dystonia |
title_full_unstemmed | Anatomo-sonographic identification of the longissimus capitis and splenius cervicis muscles: principles for possible application to ultrasound-guided botulinum toxin injections in cervical dystonia |
title_short | Anatomo-sonographic identification of the longissimus capitis and splenius cervicis muscles: principles for possible application to ultrasound-guided botulinum toxin injections in cervical dystonia |
title_sort | anatomo-sonographic identification of the longissimus capitis and splenius cervicis muscles: principles for possible application to ultrasound-guided botulinum toxin injections in cervical dystonia |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8164608/ https://www.ncbi.nlm.nih.gov/pubmed/33459837 http://dx.doi.org/10.1007/s00276-020-02646-w |
work_keys_str_mv | AT brumpteleonore anatomosonographicidentificationofthelongissimuscapitisandspleniuscervicismusclesprinciplesforpossibleapplicationtoultrasoundguidedbotulinumtoxininjectionsincervicaldystonia AT aubrysebastien anatomosonographicidentificationofthelongissimuscapitisandspleniuscervicismusclesprinciplesforpossibleapplicationtoultrasoundguidedbotulinumtoxininjectionsincervicaldystonia AT vuillierfabrice anatomosonographicidentificationofthelongissimuscapitisandspleniuscervicismusclesprinciplesforpossibleapplicationtoultrasoundguidedbotulinumtoxininjectionsincervicaldystonia AT tatulaurent anatomosonographicidentificationofthelongissimuscapitisandspleniuscervicismusclesprinciplesforpossibleapplicationtoultrasoundguidedbotulinumtoxininjectionsincervicaldystonia |