Intramuscular nerve distribution of the hamstring muscles: Application to treating spasticity

Dong Wook Rha, Kyu Ho Yi, Eun Sook Park, Chunung Park, Heejin Kim

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

The aim of this article is to elucidate the ideal sites for botulinum toxin injection by examining the intramuscular nerve distributions in the hamstring muscles. The hamstring muscles, biceps femoris, semitendinosus, and semimembranosus (10 specimens each) were stained by the modified Sihler method. The locations of the muscle origins, nerve entry points, and intramuscular arborized areas were recorded as percentages of the total distance from the line crossing the medial and lateral tibial condyles (0%) to the ischial tuberosity (100%). Intramuscular arborization patterns were observed at 15–30% and 50–60% for the biceps femoris, 25–40% and 60–80% for the semitendinosus, and 20–40% for the semimembranosus. This study suggests that botulinum toxin injection for spasticity of the hamstring muscles should be targeted to specific areas. These areas, where the arborization of intramuscular nerve branches is maximal, are recommended as the most effective and safest points for injection. Clin. Anat. 29:746–751, 2016.

Original languageEnglish
Pages (from-to)746-751
Number of pages6
JournalClinical Anatomy
Volume29
Issue number6
DOIs
Publication statusPublished - 2016 Jan 1

Fingerprint

Botulinum Toxins
Hamstring Muscles
Injections
Intramuscular Injections
Bone and Bones
Muscles

All Science Journal Classification (ASJC) codes

  • Anatomy
  • Histology

Cite this

Rha, Dong Wook ; Yi, Kyu Ho ; Park, Eun Sook ; Park, Chunung ; Kim, Heejin. / Intramuscular nerve distribution of the hamstring muscles : Application to treating spasticity. In: Clinical Anatomy. 2016 ; Vol. 29, No. 6. pp. 746-751.
@article{0c6c707f6bbf4eafb31e8e2d7fd0186a,
title = "Intramuscular nerve distribution of the hamstring muscles: Application to treating spasticity",
abstract = "The aim of this article is to elucidate the ideal sites for botulinum toxin injection by examining the intramuscular nerve distributions in the hamstring muscles. The hamstring muscles, biceps femoris, semitendinosus, and semimembranosus (10 specimens each) were stained by the modified Sihler method. The locations of the muscle origins, nerve entry points, and intramuscular arborized areas were recorded as percentages of the total distance from the line crossing the medial and lateral tibial condyles (0{\%}) to the ischial tuberosity (100{\%}). Intramuscular arborization patterns were observed at 15–30{\%} and 50–60{\%} for the biceps femoris, 25–40{\%} and 60–80{\%} for the semitendinosus, and 20–40{\%} for the semimembranosus. This study suggests that botulinum toxin injection for spasticity of the hamstring muscles should be targeted to specific areas. These areas, where the arborization of intramuscular nerve branches is maximal, are recommended as the most effective and safest points for injection. Clin. Anat. 29:746–751, 2016.",
author = "Rha, {Dong Wook} and Yi, {Kyu Ho} and Park, {Eun Sook} and Chunung Park and Heejin Kim",
year = "2016",
month = "1",
day = "1",
doi = "10.1002/ca.22735",
language = "English",
volume = "29",
pages = "746--751",
journal = "Clinical Anatomy",
issn = "0897-3806",
publisher = "Wiley-Liss Inc.",
number = "6",

}

Intramuscular nerve distribution of the hamstring muscles : Application to treating spasticity. / Rha, Dong Wook; Yi, Kyu Ho; Park, Eun Sook; Park, Chunung; Kim, Heejin.

In: Clinical Anatomy, Vol. 29, No. 6, 01.01.2016, p. 746-751.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Intramuscular nerve distribution of the hamstring muscles

T2 - Application to treating spasticity

AU - Rha, Dong Wook

AU - Yi, Kyu Ho

AU - Park, Eun Sook

AU - Park, Chunung

AU - Kim, Heejin

PY - 2016/1/1

Y1 - 2016/1/1

N2 - The aim of this article is to elucidate the ideal sites for botulinum toxin injection by examining the intramuscular nerve distributions in the hamstring muscles. The hamstring muscles, biceps femoris, semitendinosus, and semimembranosus (10 specimens each) were stained by the modified Sihler method. The locations of the muscle origins, nerve entry points, and intramuscular arborized areas were recorded as percentages of the total distance from the line crossing the medial and lateral tibial condyles (0%) to the ischial tuberosity (100%). Intramuscular arborization patterns were observed at 15–30% and 50–60% for the biceps femoris, 25–40% and 60–80% for the semitendinosus, and 20–40% for the semimembranosus. This study suggests that botulinum toxin injection for spasticity of the hamstring muscles should be targeted to specific areas. These areas, where the arborization of intramuscular nerve branches is maximal, are recommended as the most effective and safest points for injection. Clin. Anat. 29:746–751, 2016.

AB - The aim of this article is to elucidate the ideal sites for botulinum toxin injection by examining the intramuscular nerve distributions in the hamstring muscles. The hamstring muscles, biceps femoris, semitendinosus, and semimembranosus (10 specimens each) were stained by the modified Sihler method. The locations of the muscle origins, nerve entry points, and intramuscular arborized areas were recorded as percentages of the total distance from the line crossing the medial and lateral tibial condyles (0%) to the ischial tuberosity (100%). Intramuscular arborization patterns were observed at 15–30% and 50–60% for the biceps femoris, 25–40% and 60–80% for the semitendinosus, and 20–40% for the semimembranosus. This study suggests that botulinum toxin injection for spasticity of the hamstring muscles should be targeted to specific areas. These areas, where the arborization of intramuscular nerve branches is maximal, are recommended as the most effective and safest points for injection. Clin. Anat. 29:746–751, 2016.

UR - http://www.scopus.com/inward/record.url?scp=84987849916&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84987849916&partnerID=8YFLogxK

U2 - 10.1002/ca.22735

DO - 10.1002/ca.22735

M3 - Article

C2 - 27213466

AN - SCOPUS:84987849916

VL - 29

SP - 746

EP - 751

JO - Clinical Anatomy

JF - Clinical Anatomy

SN - 0897-3806

IS - 6

ER -