A Novel Method for Localizing Nerve Entry Points During Spasticity Treatment

The nerve entry points (NEPs) cannot be accurately localized for the treatment of muscle spasticity in neurolysis. The aim of this study was to develop a new method of accurately localizing nerve entry points in relation to bony landmarks. NEPs in human cadavers were coated with barium sulfate. Meth...

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Autores principales:	Yang,Shengbo, Hu,Shuangjiang, Tian,Xufeng, Hu,Shuaiyu
Lenguaje:	English
Publicado:	Sociedad Chilena de Anatomía 2017
Materias:	Spasticity Nerve entry points Anatomy X-ray Localization
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022017000300002
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spelling	oai:scielo:S0717-950220170003000022017-11-20A Novel Method for Localizing Nerve Entry Points During Spasticity TreatmentYang,ShengboHu,ShuangjiangTian,XufengHu,Shuaiyu Spasticity Nerve entry points Anatomy X-ray Localization The nerve entry points (NEPs) cannot be accurately localized for the treatment of muscle spasticity in neurolysis. The aim of this study was to develop a new method of accurately localizing nerve entry points in relation to bony landmarks. NEPs in human cadavers were coated with barium sulfate. Method 1 consisted of horizontal and longitudinal reference lines being designated based on bony landmarks, followed by radiography and measurements using picture archiving and communication system software. Method 2 involved sewing the barium sulfate-soaked suture thread into the skin to designate the horizontal and longitudinal reference lines, followed by computed tomography (CT) scanning to determine the skin surface location and puncture depth for the NEPs. Using method 1, the bony landmarks and nerve muscular branches labeled with barium sulfate were clearly visualized by radiography. NEPs were localized using the reference lines, but the resultant points were not on the skin surface, and information was not provided regarding puncture depth. Method 2 resulted in the bony landmarks, NEPs, and reference lines being clearly visualized using CT imaging. The NEPs were successfully projected onto the skin surface and localized using reference lines that were measured along the curve of the skin. Furthermore, method 2 provided measurements of puncture depth. NEPs, including depths, can be accurately localized in cadavers using CT. Therefore, this novel method is recommended for localizing neurolysis target points.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.35 n.3 20172017-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022017000300002en10.4067/S0717-95022017000300002
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Spasticity Nerve entry points Anatomy X-ray Localization
spellingShingle	Spasticity Nerve entry points Anatomy X-ray Localization Yang,Shengbo Hu,Shuangjiang Tian,Xufeng Hu,Shuaiyu A Novel Method for Localizing Nerve Entry Points During Spasticity Treatment
description	The nerve entry points (NEPs) cannot be accurately localized for the treatment of muscle spasticity in neurolysis. The aim of this study was to develop a new method of accurately localizing nerve entry points in relation to bony landmarks. NEPs in human cadavers were coated with barium sulfate. Method 1 consisted of horizontal and longitudinal reference lines being designated based on bony landmarks, followed by radiography and measurements using picture archiving and communication system software. Method 2 involved sewing the barium sulfate-soaked suture thread into the skin to designate the horizontal and longitudinal reference lines, followed by computed tomography (CT) scanning to determine the skin surface location and puncture depth for the NEPs. Using method 1, the bony landmarks and nerve muscular branches labeled with barium sulfate were clearly visualized by radiography. NEPs were localized using the reference lines, but the resultant points were not on the skin surface, and information was not provided regarding puncture depth. Method 2 resulted in the bony landmarks, NEPs, and reference lines being clearly visualized using CT imaging. The NEPs were successfully projected onto the skin surface and localized using reference lines that were measured along the curve of the skin. Furthermore, method 2 provided measurements of puncture depth. NEPs, including depths, can be accurately localized in cadavers using CT. Therefore, this novel method is recommended for localizing neurolysis target points.
author	Yang,Shengbo Hu,Shuangjiang Tian,Xufeng Hu,Shuaiyu
author_facet	Yang,Shengbo Hu,Shuangjiang Tian,Xufeng Hu,Shuaiyu
author_sort	Yang,Shengbo
title	A Novel Method for Localizing Nerve Entry Points During Spasticity Treatment
title_short	A Novel Method for Localizing Nerve Entry Points During Spasticity Treatment
title_full	A Novel Method for Localizing Nerve Entry Points During Spasticity Treatment
title_fullStr	A Novel Method for Localizing Nerve Entry Points During Spasticity Treatment
title_full_unstemmed	A Novel Method for Localizing Nerve Entry Points During Spasticity Treatment
title_sort	novel method for localizing nerve entry points during spasticity treatment
publisher	Sociedad Chilena de Anatomía
publishDate	2017
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022017000300002
work_keys_str_mv	AT yangshengbo anovelmethodforlocalizingnerveentrypointsduringspasticitytreatment AT hushuangjiang anovelmethodforlocalizingnerveentrypointsduringspasticitytreatment AT tianxufeng anovelmethodforlocalizingnerveentrypointsduringspasticitytreatment AT hushuaiyu anovelmethodforlocalizingnerveentrypointsduringspasticitytreatment AT yangshengbo novelmethodforlocalizingnerveentrypointsduringspasticitytreatment AT hushuangjiang novelmethodforlocalizingnerveentrypointsduringspasticitytreatment AT tianxufeng novelmethodforlocalizingnerveentrypointsduringspasticitytreatment AT hushuaiyu novelmethodforlocalizingnerveentrypointsduringspasticitytreatment
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A Novel Method for Localizing Nerve Entry Points During Spasticity Treatment

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