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PART V
Muscle Layers and Injection Points Atlas
Abrahm Behnam
T
his section provides clinicians with a detailed
pictorial reference guide for planning or performing
chemodenervation procedures. The relationship and orientation
of individual muscles are revealed in the Muscle Layers pages
for each anatomic division. The Injection Points sequences
present clinical surface anatomy accompanied by details of the
underlying muscle to help clinicians identify optimal injection
sites. All of the sequences play as animations on the DVD to
allow injectors to review muscle layers interactively by scrolling
back and forth between various muscles. Together, this print and
DVD atlas offers a review of muscle anatomy and orientation of
the target as well as muscle or structure, superfi cialor deep to
the target. This section will be useful as a guide for all clinicians
performing chemodenervation procedures, not just those who
are utilizing ultrasound guidance.
Face Anterior 342
Face Side 344
Neck Front 347
Neck Side 358
Forearm 369
Hip 379
Hamstrings 395
Lower Leg 400
Posterior Neck/Back 407
FACE ANTERIOR
342
MUSCLE LAYERS AND INJECTION POINTS ATLAS
Obicularis Oculi
Levator Labii Superioris
Superior Labii Nasi
Zygomasticus Minor
Zygomasticus Major
Buccinator
Risorius
Depressor Labii Oris
Platysma
Obicularis Oris
Depressor Anguli Oris
Depressor Labii Inferioris
Mentalis
343
FACE ANTERIOR
FACE ANTERIOR
Obicularis Oculi
Obicularis Oris
Depressor Anguli Oris
Depressor Labii Inferioris
Mentails
Levator Labii Superioris
Superior Labii Nasi
Zygomasticus Minor
Zygomasticus Major
Buccinator
Risorius
Depressor Labii Ori
Platysma
344
MUSCLE LAYERS AND INJECTION POINTS ATLAS
Muscle Layers
FACE SIDE
Temporalis
External Pterygoids
Internal Pterygoids
Masseter
Parotid
Buccinator
Risorius
Submandibular
Platysma
Sternocleidomastoid
345
FACE SIDE
Muscle Layers
FACE SIDE
Temporalis
External Pterygoids
Internal Pterygoids
Masseter
Parotid
Buccinator
Risorius
Submandibular
Platysma
Sternocleidomastoid
Temporalis
External Pterygoids
Internal Pterygoids
Masseter
Parotid
Buccinator
Risorius
Submandibular
Platysma
Sternocleidomastoid
346
MUSCLE LAYERS AND INJECTION POINTS ATLAS
Muscle Layers
FACE SIDE
Temporalis
External Pterygoids
Internal Pterygoids
Masseter
Parotid
Buccinator
Risorius
Submandibular
Platysma
Sternocleidomastoid
Temporalis
External Pterygoids
Internal Pterygoids
Masseter
Parotid
Buccinator
Risorius
Submandibular
Platysma
Sternocleidomastoid
347
NECK FRONT
NECK FRONT
Muscle Layers
Trapezius
Scalenus Anterior
Scalenus Medius
Scalenus Posterior
Sternocleidomastoid
Splenius Capitis
Levator
Platysma
Omohyoid
348
MUSCLE LAYERS AND INJECTION POINTS ATLAS
Muscle Layers
NECK FRONT
Trapezius
Scalenus Anterior
Scalenus Medius
Scalenus Posterior
Sternocleidomastoid
Splenius Capitis
Levator
Platysma
Omohyoid
Trapezius
Scalenus Anterior
Scalenus Medius
Scalenus Posterior
Sternocleidomastoid
Splenius Capitis
Levator
Platysma
Omohyoid
349
NECK FRONT
NECK FRONT
Muscle Layers
Platysma
350
MUSCLE LAYERS AND INJECTION POINTS ATLAS
Muscle Layers
NECK FRONT
Omohyoid
351
NECK FRONT
NECK FRONT
Muscle Layers
Sternocleidomastoid
352
MUSCLE LAYERS AND INJECTION POINTS ATLAS
Muscle Layers
NECK FRONT
Scalenus Anterior
353
NECK FRONT
NECK FRONT
Muscle Layers
Scalenus Medius
354
MUSCLE LAYERS AND INJECTION POINTS ATLAS
NECK FRONT
Muscle Layers
Scalenus Posterior
355
NECK FRONT
NECK FRONT
Muscle Layers
Levator
356
MUSCLE LAYERS AND INJECTION POINTS ATLAS
NECK FRONT
Muscle Layers
Splenius Capitis
357
NECK FRONT
NECK FRONT
Muscle Layers
Trapezius
358
MUSCLE LAYERS AND INJECTION POINTS ATLAS
Muscle Layers
NECK SIDE
Sternocleidomastoid
Splenius Capitis
Levator
Trapezius
Platysma
Scalenus Medius
Scalenus Anterior
Scalenus Posterior
Omohyoid
359
NECK SIDE
NECK SIDE
Muscle Layers
Sternocleidomastoid
Splenius Capitis
Levator
Trapezius
Omohyoid
Scalenus Posterior
Scalenus Anterior
Scalenus Medius
Platysma
Sternocleidomastoid
Splenius Capitis
Levator
Trapezius
Omohyoid
Scalenus Posterior
Scalenus Anterior
Scalenus Medius
Platysma
360
MUSCLE LAYERS AND INJECTION POINTS ATLAS
Platysma - Injection
NECK SIDE
361
NECK SIDE
NECK SIDE
Trapezius - Injection
362
MUSCLE LAYERS AND INJECTION POINTS ATLAS
NECK SIDE
Sternocleidomastoid - Injection
363
NECK SIDE
NECK SIDE
Scalenus Anterior - Injection
364
MUSCLE LAYERS AND INJECTION POINTS ATLAS
NECK SIDE
Scalenus Medius - Injection
365
NECK SIDE
NECK SIDE
Scalenus Posterior - Injection
366
MUSCLE LAYERS AND INJECTION POINTS ATLAS
Levator - Injection
NECK SIDE
367
NECK SIDE
NECK SIDE
Splenius Capitis - Injection
368
MUSCLE LAYERS AND INJECTION POINTS ATLAS
Omohyoid - Injection
NECK SIDE
369
FOREARM
FOREARM
Muscle Layers
Brachioradialis
Flexor Carpi Radialis
Palmaris Longus
Pronator Teres
Flexor Digitorum Superfcialis
Flexor Digitorum Profundus
Flexor Carpi Ulnaris
Brachioradialis
Flexor Carpi Radialis
Palmaris Longus
Pronator Teres
Flexor Digitorum Superfcialis
Flexor Digitorum Profundus
Flexor Carpi Ulnaris
370
MUSCLE LAYERS AND INJECTION POINTS ATLAS
Muscle Layers
FOREARM
Brachioradialis
Flexor Carpi Radialis
Palmaris Longus
Pronator Teres
Flexor Digitorum Superfcialis
Flexor Digitorum Profundus
Flexor Carpi Ulnaris
Brachioradialis
Flexor Carpi Radialis
Palmaris Longus
Pronator Teres
Flexor Digitorum Superfcialis
Flexor Digitorum Profundus
Flexor Carpi Ulnaris
371
FOREARM
FOREARM
Muscle Layers
Brachioradialis
Flexor Carpi Radialis
Palmaris Longus
Pronator Teres
Flexor Digitorum Superfcialis
Flexor Digitorum Profundus
Flexor Carpi Ulnaris
Brachioradialis
Flexor Carpi Radialis
Palmaris Longus
Pronator Teres
Flexor Digitorum Superfcialis
Flexor Digitorum Profundus
Flexor Carpi Ulnaris
372
MUSCLE LAYERS AND INJECTION POINTS ATLAS
Brachioradialis - Injection
FOREARM
373
FOREARM
FOREARM
Palmaris Longus - Injection
374
MUSCLE LAYERS AND INJECTION POINTS ATLAS
Flexor Carpi Radialis - Injection
FOREARM
375
FOREARM
FOREARM
Pronator Teres - Injection
376
MUSCLE LAYERS AND INJECTION POINTS ATLAS
Flexor Digitorum Superfi cialis - Injection
FOREARM
377
FOREARM
FOREARM
Flexor Carpi Ulnaris - Injection
378
MUSCLE LAYERS AND INJECTION POINTS ATLAS
Flexor Digitorum Profundus - Injection
FOREARM
379
HIP
HIP
Muscle Layers
Rectus Femoris
Vastus Lateralis
Vastus Intermedius
Vastus Mediali
Gracilis
Adductor Longus
Adductor Magnus
Pectineus
Adductor Brevis
Ilipsoas
Tensor Fascia Lata
Sartorius
380
MUSCLE LAYERS AND INJECTION POINTS ATLAS
Muscle Layers
HIP
Rectus Femoris
Vastus Lateralis
Vastus Intermedius
Vastus Medialis
Gracilis
Adductor Longus
Adductor Magnus
Pectineus
Adductor Brevis
Ilipsoas
Tensor Fascia Lata
Sartorius
Rectus Femoris
Vastus Lateralis
Vastus Intermedius
Vastus Medialis
Gracilis
Adductor Longus
Adductor Magnus
Pectineus
Adductor Brevis
Ilipsoas
Tensor Fascia Lata
Sartorius
381
HIP
HIP
Muscle Layers
Rectus Femoris
Vastus Lateralis
Vastus Intermedius
Vastus Medialis
Gracilis
Adductor Longus
Adductor Magnus
Pectineus
Adductor Brevis
Ilipsoas
Tensor Fascia Lata
Sartorius
Rectus Femoris
Vastus Lateralis
Vastus Intermedius
Vastus Medialis
Gracilis
Adductor Longus
Adductor Magnus
Pectineus
Adductor Brevis
Ilipsoas
Tensor Fascia Lata
Sartorius
382
MUSCLE LAYERS AND INJECTION POINTS ATLAS
Muscle Layers
HIP
Rectus Femoris
Vastus Lateralis
Vastus Intermedius
Vastus Medialis
Gracilis
Adductor Longus
Adductor Magnus
Pectineus
Adductor Brevis
Ilipsoas
Tensor Fascia Lata
Sartorius
Rectus Femoris
Vastus Lateralis
Vastus Intermedius
Vastus Medialis
Gracilis
Adductor Longus
Adductor Magnus
Pectineus
Adductor Brevis
Ilipsoas
Tensor Fascia Lata
Sartorius
383
HIP
HIP
Sartorius
384
MUSCLE LAYERS AND INJECTION POINTS ATLAS
Tensor Fascia Lata - Injection
HIP
385
HIP
HIP
Rectus Femoris - Injection
386
MUSCLE LAYERS AND INJECTION POINTS ATLAS
Iliopsoas - Injection
HIP
387
HIP
HIP
Vastus Intermedius - Injection
388
MUSCLE LAYERS AND INJECTION POINTS ATLAS
Vastus Lateralis - Injection
HIP
389
HIP
HIP
Vastus Medialis - Injection