Dry needling with blinded technique in pectoralis minor syndrome

Tayyip Dede, Burak; Hüseyin Temel, Mustafa; Bağcıer, Fatih

doi:10.5606/tftrd.2023.12535

Turk J Phys Med Rehab

2023

DOI: 10.5606/tftrd.2023.12535

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Dry needling with blinded technique in pectoralis minor syndrome

Burak Tayyip Dede,

Mustafa Hüseyin Temel,

Fatih Bağcıer

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Ideal Injection Points for Botulinum Neurotoxin for Pectoralis Minor Syndrome: A Cadaveric Study

Lee,

et al. 2023

Toxins

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Pectoralis Minor Syndrome (PMS) causes significant discomfort due to the compression of the neurovascular bundle within the retropectoralis minor space. Botulinum neurotoxin (BoNT) injections have emerged as a potential treatment method; however, their effectiveness depends on accurately locating the injection site. In this study, we aimed to identify optimal BoNT injection sites for PMS treatment. We used twenty-nine embalmed and eight non-embalmed human cadavers to determine the origin and intramuscular arborization of the pectoralis minor muscle (Pm) via manual dissection and Sihler’s nerve staining techniques. Our findings showed the Pm’s origin near an oblique line through the suprasternal notch, with most neural arborization within the proximal three-fourths of the Pm. Blind dye injections validated these results, effectively targeting the primary neural arborized area of the Pm at the oblique line’s intersection with the second and third ribs. We propose BoNT injections at the arborized region within the Pm’s proximal three-fourths, or the C region, for PMS treatment. These findings guide clinicians towards safer, more effective BoNT injections.

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Ideal Injection Points for Botulinum Neurotoxin for Pectoralis Minor Syndrome: A Cadaveric Study

Lee,

et al. 2023

Toxins

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show abstract

Reply on the article: “Dry-needling with blinded technique in pectoralis minor syndrome’’

Aktaş,

Ünlü Özkan

2023

Turk J Phys Med Rehab

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Dry needling with blinded technique in pectoralis minor syndrome

Cited by 2 publications

References 4 publications

Ideal Injection Points for Botulinum Neurotoxin for Pectoralis Minor Syndrome: A Cadaveric Study

Ideal Injection Points for Botulinum Neurotoxin for Pectoralis Minor Syndrome: A Cadaveric Study

Reply on the article: “Dry-needling with blinded technique in pectoralis minor syndrome’’

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