000118615 001__ 118615
000118615 005__ 20230519145431.0
000118615 0247_ $$2doi$$a10.1093/pm/pnab274
000118615 0248_ $$2sideral$$a124826
000118615 037__ $$aART-2021-124826
000118615 041__ $$aeng
000118615 100__ $$aFernández de las Peñas, César
000118615 245__ $$aSafety of Dry Needling of the Pronator Teres Muscle in Cadavers: A Potential Treatment for Pronator Syndrome
000118615 260__ $$c2021
000118615 5060_ $$aAccess copy available to the general public$$fUnrestricted
000118615 5203_ $$aBackground: Entrapment of the median nerve at the pronator teres muscle can contribute to symptoms in the forearm and wrist. The pronator teres is also involved in patterns of spasticity observed in people who had suffered a stroke. Research on treatment efficacy with dry needling is scarce.
Objective: To determine if a solid filiform needle safely penetrates the pronator teres muscle during the clinical application of dry needling.
Design: A cadaveric descriptive study.
Methods: Needle insertion of the pronator teres was conducted in ten cryopreserved forearms with a 30*0.32 mm filiform needle. With the forearm supinated, the needle was inserted 3 cm distal to the mid-point between the biceps tendon insertion and the medial epicondyle. The needle was advanced in a cranial and medial direction to a depth clinically judged to be in the pronator teres muscle. Safety was assessed by measuring the distance from the needle to the surrounding neurovascular bundles.
Results: Accurate needle penetration of the pronator teres was observed in 100% of the specimens (mean needle penetration: 16.7 ± 4.3 mm, 95%CI 13.6 to 19.7 mm). No neurovascular bundles were pierced in any of the specimen's forearms. The distances from the tip of the needle to the surrounding neurovascular bundles were 16.4 ± 3.9 mm (95%CI 13.6 to 19.2 mm) to the ulnar nerve (A), 9.0 ± 2.2 mm (95%CI 7.3 to 19.5 mm) to the median nerve (B), and 12.8 ± 4.0 mm (95%CI 10.0 to 15.7 mm) to brachial artery (C).
Conclusion: The results from this cadaveric study support the assumption that needling of the pronator teres using described anatomical landmarks can be accurately and safely conducted by an experienced clinician.
000118615 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000118615 590__ $$a3.637$$b2021
000118615 591__ $$aMEDICINE, GENERAL & INTERNAL$$b65 / 172 = 0.378$$c2021$$dQ2$$eT2
000118615 591__ $$aANESTHESIOLOGY$$b16 / 35 = 0.457$$c2021$$dQ2$$eT2
000118615 592__ $$a0.733$$b2021
000118615 593__ $$aMedicine (miscellaneous)$$c2021$$dQ1
000118615 593__ $$aAnesthesiology and Pain Medicine$$c2021$$dQ1
000118615 594__ $$a4.5$$b2021
000118615 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion
000118615 700__ $$aLópez de Celis, Carlos
000118615 700__ $$aRodríguez Sanz, Jacobo
000118615 700__ $$0(orcid)0000-0001-7667-2178$$aHidalgo García, César$$uUniversidad de Zaragoza
000118615 700__ $$aDonelly, Joseph M.
000118615 700__ $$aCedeño Bermúdez, Simón A.
000118615 700__ $$aPérez Bellmunt, Albert
000118615 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000118615 773__ $$g(2021), [4 pp.]$$pPain med.$$tPain Medicine (United States)$$x1526-2375
000118615 8564_ $$s274847$$uhttps://zaguan.unizar.es/record/118615/files/texto_completo.pdf$$yPostprint
000118615 8564_ $$s2361278$$uhttps://zaguan.unizar.es/record/118615/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint
000118615 909CO $$ooai:zaguan.unizar.es:118615$$particulos$$pdriver
000118615 951__ $$a2023-05-18-14:18:23
000118615 980__ $$aARTICLE