Evidence map›Paper›PMID 40084316›Full record

ArticleCureus2025

Fascial Ultrasound-Guided Injection: Where Do We Really Inject?

Kousuke Shiwaku, Carmelo Pirri, Hidenori Otsubo, Tomoaki Kamiya, Andrea Porzionato, Gakuto Nakao, Atsushi Teramoto, Carla Stecco

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Hydrorelease Within the Paraneural Sheath: A Cadaveric Study.Journal of functional morphology and kinesiology · 2026
    Article
  3. Article
  4. Ultrasound-Guided Fascial Hydrorelease for Persistent Pain After Hamstring Injury.Journal of functional morphology and kinesiology · 2025
    Article
  5. 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

8 authors.

Kousuke ShiwakuOrthopaedic Surgery, Sapporo Medical University, Sapporo, JPN.
Carmelo PirriNeurosciences, Padova University, Padova, ITA.
Hidenori OtsuboOrthopaedic Surgery, Sapporo Sports Clinic, Sapporo, JPN.
Tomoaki KamiyaAnatomy, Sapporo Medical University, Sapporo, JPN.
Andrea PorzionatoNeurosciences, Padova University, Padova, ITA.
Gakuto NakaoGraduate School of Health Sciences, Sapporo Medical University, Sapporo, JPN.
Atsushi TeramotoOrthopaedic Surgery, Sapporo Medical University, Sapporo, JPN.
Carla SteccoNeurosciences, Padova University, Padova, ITA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relationship between human anatomy on ultrasonography (US) and dissection is unclear.Therefore, we investigated the precise location of a solution injected into eight legs from five fresh-frozen specimens between the fascial layers of two aponeurotic fascial (APF) regions using US.

methodsThe US-guided injection target points were the fascial lata-distal, crural fascia-proximal, and crural fascia-distal. The operator searched the optimal visualization area of two close fascial layers of the two APF regions; 2.5 mL of 0.9% saline was injected through US guidance. The layers with the solution were categorized as above the APF (between the superficial fascia and APF), intra-APF, between the APF and epimysium (EPI), or intra-muscle (under the EPI).

resultsA small amount of solution was identified within the intra-APF region, whereas a substantial amount was observed above the APF, between the APF and EPI, and intramuscularly. Regarding the fascia lata-distal and crural fascia-distal, a substantial volume of solution was observed between the APF and EPI in all cases. For the crural fascia-proximal, the solution was observed above the APF in 25% of cases and intramuscularly in 75% of cases.

conclusionsSolution distribution may be associated with whether the muscle fibers are directly inserted into the APF and the absence of EPI in each area.

Indexed as

aponeurotic fasciaepimysiumhydrodissectionhydroreleasemyofascial pain syndromesuperficial fasciaultrasound

Identifiers

PMID40084316
PMCPMC11906211

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.