PURPOSE: Intramuscular injection of botulinum toxin A (BTX-A) is a common treatment for iliopsoas muscle spasticity, but it is not easy to position the needle in this muscle without guidance. In this paper we describe an ultrasound-guided technique for the intramuscular injection of BTX-A to treat spasticity of the iliopsoas muscle. Its effectiveness was assessed in 10 patients. METHOD AND MATERIALS: The ultrasound-guided technique for BTX-A injection was used on 10 patients. The needle was inserted into the muscle belly at an angle of 45° along the longitudinal axis of the muscle when allowed by patient's condition. RESULTS: In all cases, the iliopsoas muscle was easily identified and both the iliac and psoas components were assessed. Introduction of the needle and drug injection were entirely carried out under ultrasonographic guidance. The procedure was successful in all patients, even in those with a high-grade spasticity, and general anesthesia was not required. CONCLUSIONS: This ultrasound-guided technique allows accurate guidance for the injection of BTX-A, and it can be considered as an alternate supportive therapy in patients with spasticity and dystonia.
PURPOSE: Intramuscular injection of botulinum toxin A (BTX-A) is a common treatment for iliopsoas muscle spasticity, but it is not easy to position the needle in this muscle without guidance. In this paper we describe an ultrasound-guided technique for the intramuscular injection of BTX-A to treat spasticity of the iliopsoas muscle. Its effectiveness was assessed in 10 patients. METHOD AND MATERIALS: The ultrasound-guided technique for BTX-A injection was used on 10 patients. The needle was inserted into the muscle belly at an angle of 45° along the longitudinal axis of the muscle when allowed by patient's condition. RESULTS: In all cases, the iliopsoas muscle was easily identified and both the iliac and psoas components were assessed. Introduction of the needle and drug injection were entirely carried out under ultrasonographic guidance. The procedure was successful in all patients, even in those with a high-grade spasticity, and general anesthesia was not required. CONCLUSIONS: This ultrasound-guided technique allows accurate guidance for the injection of BTX-A, and it can be considered as an alternate supportive therapy in patients with spasticity and dystonia.
Authors: B Deleplanque; A Lagueny; V Flurin; C Arnaud; J M Pedespan; D Fontan; J R Pontallier Journal: Rev Chir Orthop Reparatrice Appar Mot Date: 2002-05
Authors: Bettina Westhoff; Konrad Seller; Alexander Wild; Marcus Jaeger; Ruediger Krauspe Journal: Dev Med Child Neurol Date: 2003-12 Impact factor: 5.449
Authors: Alberto Aliprandi; Francesco Di Pietto; Paolo Minafra; Marcello Zappia; Simona Pozza; Luca Maria Sconfienza Journal: Radiol Med Date: 2013-11-26 Impact factor: 3.469
Authors: Vito Chianca; Domenico Albano; Carmelo Messina; Federico Midiri; Giovanni Mauri; Alberto Aliprandi; Michele Catapano; Lorenzo Carlo Pescatori; Cristian Giuseppe Monaco; Salvatore Gitto; Anna Pisani Mainini; Angelo Corazza; Santi Rapisarda; Grazia Pozzi; Antonio Barile; Carlo Masciocchi; Luca Maria Sconfienza Journal: Acta Biomed Date: 2018-01-19
Authors: Adham Aboul Fotouh; Mona Hamdy; Fatma Ali; Eman F Mohamed; Abdallah Allam; Waleed A Hassan; Ahmed Elsaman; Amany El-Najjar; Marwa A Amer; Doaa Mosad; Samar Tharwat; Samah A El Bakry; Hanan Saleh; Ahmed Zaghloul; Mostafa Mahmoud; Reem H A Mohammed; Hanan El-Saadany; Hanan M Fathi; Nevin Hammam; Hala A Raafat; Ashraf N Moharram; Tamer A Gheita Journal: Open Access Rheumatol Date: 2022-04-11