Pictorial Atlas

of Botulinum Toxin Injection

Dosage • Localization • Application
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Table of Contents

1 Introduction ________________________ 1 Flexor digiti minimi brevis manus ______________ 76

Flexor pollicis longus __________________________ 78
1.1 Treatment with Botulinum Toxin __________ 2 Abductor pollicis longus ______________________ 80
1.2 Licensed Medicine and Clinical Application __ 2 Abductor pollicis brevis ________________________ 82
Abductor digiti minimi manus __________________ 84
1.3 Off-Label Application______________________ 2 Dorsal interossei manus 1–4 ____________________ 86
Palmar interossei 1–4 __________________________ 88
Adductor pollicis ______________________________ 90
2 Upper Limb ________________________ 5 Opponens pollicis ____________________________ 92
Opponens digiti minimi________________________ 94
2.1 Muscles of the Pectoral Girdle ______________ 6 Palmaris brevis ________________________________ 96
Trapezius, Lower (Ascending) Part ______________ 6
Trapezius, Middle (Transverse) Part ______________ 8
Trapezius, Upper (Descending) Part ____________ 10 3 Lower Limb__________________________ 99
Levator scapulae ______________________________ 12
Rhomboid major ______________________________ 14 3.1 Muscles Acting on the Hip Joint ____________ 100
Rhomboid minor ______________________________ 16 Gluteus maximus ____________________________ 100
Serratus anterior ______________________________ 18 Iliopsoas ____________________________________ 102
Pectoralis minor ______________________________ 20 Sartorius ____________________________________ 104
Gluteus medius ______________________________ 106
2.2 Muscles of the Shoulder Joint ______________ 22 Gluteus minimus ______________________________ 108
Deltoid ______________________________________ 22 Tensor fasciae latae____________________________ 110
Supraspinatus ________________________________ 24 Pectineus ____________________________________ 112
Infraspinatus__________________________________ 26 Adductor longus ______________________________ 114
Teres minor __________________________________ 28 Adductor brevis ______________________________ 116
Latissimus dorsi ______________________________ 30 Gracilis ______________________________________ 118
Teres major __________________________________ 32 Adductor magnus ____________________________ 120
Pectoralis major ______________________________ 34
3.2 Muscles Acting on the Knee Joint __________ 122
2.3 Muscles of the Elbow Joint ________________ 36 Quadriceps femoris: rectus femoris ______________ 122
Biceps brachii ________________________________ 36 Quadriceps femoris: vastus medialis ____________ 124
Brachialis ____________________________________ 38 Quadriceps femoris: vastus intermedius __________ 126
Brachioradialis ________________________________ 40 Quadriceps femoris: vastus lateralis ______________ 128
Triceps brachii ________________________________ 42 Biceps femoris ________________________________ 130
Supinator ____________________________________ 44 Semimembranosus ____________________________ 132
Pronator teres ________________________________ 46 Semitendinosus ______________________________ 134
Pronator quadratus ____________________________ 48
3.3 Muscles Acting on the Ankle Joint __________ 136
2.4 Muscles of the Wrist Joint__________________ 50 Gastrocnemius ________________________________ 136
Extensores carpi radialis longus and brevis________ 50 Soleus ______________________________________ 138
Extensor carpi ulnaris __________________________ 52 Tibialis posterior ______________________________ 140
Flexor carpi radialis ____________________________ 54 Tibialis anterior ______________________________ 142
Palmaris longus ______________________________ 56 Peroneus longus ______________________________ 144
Flexor carpi ulnaris ____________________________ 58
3.4 Muscles Acting on the Toe Joints __________ 146
2.5 Muscles of the Finger Joints ________________ 60 Extensores digitorum brevis and hallucis brevis __ 146
Extensor digitorum ____________________________ 60 Extensor hallucis longus________________________ 148
Extensor indicis ______________________________ 62 Extensor digitorum longus ____________________ 150
Extensor digitii minimi ________________________ 64 Flexor hallucis brevis __________________________ 152
Extensor pollicis brevis ________________________ 66 Flexor hallucis longus __________________________ 154
Extensor pollicis longus ________________________ 68 Flexor digitorum brevis ________________________ 156
Lumbricals manus 1–4 ________________________ 70 Flexor digitorum longus________________________ 158
Flexor digitorum superficialis __________________ 72 Quadratus plantae ____________________________ 160
Flexor digitorum profundus ____________________ 74 Flexor digiti minimi brevis pedis ________________ 162

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