Evidence map›Paper›PMID 33399965›Full record

ArticleJournal of neurology2021

Accuracy of non-guided versus ultrasound-guided injections in cervical muscles: a cadaver study.

Alexandre Kreisler, Camille Gerrebout, Luc Defebvre, Xavier Demondion

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Localization modalities for botulinum neurotoxin injection.Toxicon : official journal of the International Society on Toxinology · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Alexandre KreislerCHU Lille, Neurologie et Pathologie du Mouvement, F-59000, Lille, France. alexandre.kreisler@chru-lille.fr.ORCID http://orcid.org/0000-0002-6501-5401
Camille GerreboutCHU Lille, Neurologie et Pathologie du Mouvement, F-59000, Lille, France.
Luc DefebvreCHU Lille, Neurologie et Pathologie du Mouvement, F-59000, Lille, France.
Xavier DemondionCHU Lille, Radiologie et Imagerie Musculo-squelettique, F-59000, Lille, France.
Centre Hospitalier Universitaire de Lille · FRUniversité de Lille · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe col-cap concept encouraged neurologists to inject a large group of muscles in the treatment of cervical dystonia. This includes deep muscles such as the obliquus capitis inferior or the semispinalis capitis, and muscles close to vascular or neurological structures such as scalene muscles. Our aim was to determine the accuracy of injections in cervical muscles using ultrasonography (US) or palpation of anatomical landmarks.

methodsA mix of paint, gelatin and iodized contrast agent was injected in nine pairs of cervical muscles of human cadavers, according to two injection techniques: US-guided and non-guided. The dye was localized on 1 cm-thick, frozen slices.

resultsA total of 102 muscles was injected in the US-guided group (n = 8). The global accuracy was 88.2%. The lowest accuracy was in the OCI (41.7%); trying to avoid the vertebral artery, injections were too medial. A total of 54 muscles was injected in the non-guided group (n = 3). The global accuracy was 48.0%; moreover, some dye was found in four blood vessels. The embalming process produced texture changes, making difficult the palpation of bony landmarks.

conclusionsOur results indicate that US-guided injections are more accurate than non-guided injections in most cervical muscles.

Indexed as

MusclesUltrasonography, InterventionalCadaverHumansInjectionsUltrasonographyCadaverInjection accuracyNeck musclesUltrasonography

Identifiers

PMID33399965
OpenAlexW3120170840

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.