Safety and Efficacy of Selective Neurectomy of the Gastrocnemius Muscle for Calf Reduction in 300 Cases

Wang, Haibin; Xu, Xiang; Sun, Zhen; Luo, Shen-qiu

doi:10.1007/s00266-015-0535-3

Cited by 8 publications

(1 citation statement)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Myomectomy has been shown to be correlated with significant side effects, such as hematoma, hemorrhage, infection, nerve damage, and skin scarring. 5 6 Another option is liposuction, although it has limited efficacy in cases where the primary determinant of calf thickness is on the gastrocnemius muscle rather than subcutaneous fatty tissue. 3 7 Another method is ablative therapy using radiofrequency; however, this has been downgraded due to reports of fibrosis and significant contractures.…”

Section: Introductionmentioning

confidence: 99%

Intramuscular Neural Distribution of the Gastrocnemius for Botulinum Neurotoxin Injection: Application to Cosmetic Calf Shaping

Yi,

Park,

Kim

et al. 2023

Yonsei Med J

View full text Add to dashboard Cite

Purpose Anatomical landmarks can provide vital information on the distribution of nerves in the gastrocnemius muscle. We aimed to provide an anatomical perspective on appropriate locations for botulinum neurotoxin (BoNT) injections in the medial and lateral parts of the gastrocnemius for calf shaping. Materials and Methods A modified Sihler’s method was applied to both the medial and lateral parts of the gastrocnemius muscles (16 specimens). Intramuscular neural distributions were revealed by dissecting along a transverse line crossing the fibular head and superior margin of the calcaneal tuberosity. Results The intramuscular neural distribution for the medial and lateral parts of the gastrocnemius had the greatest arborized patterns in the 7/10–8/10 section of the medial head and 7.5/10–8.5/10 section of the lateral part of the gastrocnemius. Conclusion We propose that BoNT injections should be directed to the 7/10–8/10 section of the medial head and the 7.5/10–8.5/10 section of the lateral part of the gastrocnemius. Following our guidelines, clinicians can ensure satisfactory results with the use of minimal doses to limit adverse effects, such as gait disturbance, antibody production, and bruising, due to multiple injections. The results can also be altered and applied to electromyography.

show abstract

Section: Introductionmentioning

confidence: 99%

Intramuscular Neural Distribution of the Gastrocnemius for Botulinum Neurotoxin Injection: Application to Cosmetic Calf Shaping

Yi,

Park,

Kim

et al. 2023

Yonsei Med J

View full text Add to dashboard Cite

show abstract

Selective Neurocoagulation of Gastrocnemius and Lateral Soleus Muscles for Calf Reduction

Lee¹,

Seong²

2023

Aesth Plast Surg

View full text Add to dashboard Cite

Hyper-selective neurectomy for knee flexion spasticity: anatomic bases and surgical technique

Emamhadi

Alijani

Dogahe³

et al. 2023

Surg Radiol Anat

View full text Add to dashboard Cite

Safety and Efficacy of Selective Neurectomy of the Gastrocnemius Muscle for Calf Reduction in 300 Cases

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Cited by 8 publications

References 21 publications

Intramuscular Neural Distribution of the Gastrocnemius for Botulinum Neurotoxin Injection: Application to Cosmetic Calf Shaping

Intramuscular Neural Distribution of the Gastrocnemius for Botulinum Neurotoxin Injection: Application to Cosmetic Calf Shaping

Selective Neurocoagulation of Gastrocnemius and Lateral Soleus Muscles for Calf Reduction

Hyper-selective neurectomy for knee flexion spasticity: anatomic bases and surgical technique

Contact Info

Product

Resources

About