Abstract
Psoas muscle spasticity is hypothesised as a rare cause of low back pain in patients with infantile cerebral palsy. The authors describe a new manoeuvre for the study of psoas tenderness and ultrasound (US)-guided transabdominal botulinum toxin injection technique. A possible causal relationship between psoas tension and low back pain was found incidentally in two examined cases. In subsequent patients, botulinum toxin was injected and, in cases of disappearance of symptoms, the psoas tendon was sectioned at the pelvic brim with definitive disappearance of pain. The relationship between psoas tension and low back pain in patients with infantile cerebral palsy seems likely, given the result in the four patients.
Highlights
Patients with infantile cerebral palsy sometimes present with severe low back pain and a pressing request for reduction of painful symptoms
The iliopsoas muscle is composed of the psoas and iliacus muscle [1]
Interest is focused on the psoas muscle
Summary
Patients with infantile cerebral palsy sometimes present with severe low back pain and a pressing request for reduction of painful symptoms. The psoas muscle forms a fusiform muscular body with maximum thickness at the level of the sacroiliac joint It passes through the lumbar region and the pelvis, emerging from this, below, through a groove on the anterior border of the iliac bone between the anterior-inferior iliac spine and the iliopectineal eminence. In patients with infantile cerebral palsy, especially in tetraparesis or paraparesis (diplegia), psoas muscle spasticity may cause hip flexion deformity and a hollow back, either dynamic or structured, i.e., caused by spastic contraction or fixed retraction of the muscle [2, 3] After causing these deformities, muscle tension may cause pain in a still unknown way
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
