Referred Pain Patterns Of The Third And Fourth Dorsal Interosseous Muscles

Tae Woong Choi, Hyeun Jun Park, Ah Ry Lee, Yoon Kyoo Kang

Research output: Contribution to journalArticle

Abstract

Background: Myofascial pain (MP) is a common disorder that can involve any skeletal muscle in the human body. There are no published reports of the referred pain patterns of the third and fourth dorsal interosseous muscles. Objective: To investigate the referred pain patterns of the third and fouth dorsal interosseous muscles. Study Design: Prospective evaluation. Setting: Academic medical center. Methods: Twenty healthy adults participated in the study. Needle placement and injection of 0.2 mL 6% hypertonic saline solution into the midpoint of the interosseous muscles were performed under ultrasonographic (US) guidance. After the injections, the participants were instructed to wait until they felt the most pain and then draw a pain diagram. This drawing was transferred to the computer for analysis. Results: The referred pain distributions for the third dorsal interosseous muscle were as follows: the interdigital space of the third and fourth fingers, 80%; the distal phalanx of the third and fourth fingers, 45%; and the ulnar side of the palm, 55%. Three and 6 participants reported pain on the volar side of the wrist and in the fifth finger, respectively. The referred pain distributions for the fourth dorsal interosseous muscle were as follows: the interdigital space of the fourth and fifth fingers, 80%; the hypothenar area, 65%; and the distal phalanx of the fourth and fifth fingers, 60%. Seven and 3 participants also reported pain on the ulnar side of the wrist and the ulnar side of the forearm, respectively. Limitation: This study is limited by its small sample size. Conclusion: Referred pain patterns of the third and fourth interosseous muscles resemble the pain experienced in C7 or C8 radiculopathies or the ulnar neuropathy. Thus, identification of the third and fourth interosseous muscle trigger point should be considered when patients experience pain on the ulnar aspect of the hand and wrist.

Original languageEnglish
Pages (from-to)299-304
Number of pages6
JournalPain Physician
Volume18
Issue number3
Publication statusPublished - 2015 Jan 1

Fingerprint

Referred Pain
Fingers
Pain
Muscles
Wrist
Hypertonic Saline Solutions
Ulnar Neuropathies
Trigger Points
Injections
Radiculopathy
Myalgia
Human Body
Forearm
Sample Size
Needles
Skeletal Muscle
Hand
Prospective Studies

Keywords

  • Dorsal interosseous
  • Myofascial pain syndromes
  • Referred pain

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Referred Pain Patterns Of The Third And Fourth Dorsal Interosseous Muscles. / Choi, Tae Woong; Park, Hyeun Jun; Lee, Ah Ry; Kang, Yoon Kyoo.

In: Pain Physician, Vol. 18, No. 3, 01.01.2015, p. 299-304.

Research output: Contribution to journalArticle

Choi, TW, Park, HJ, Lee, AR & Kang, YK 2015, 'Referred Pain Patterns Of The Third And Fourth Dorsal Interosseous Muscles', Pain Physician, vol. 18, no. 3, pp. 299-304.
Choi, Tae Woong ; Park, Hyeun Jun ; Lee, Ah Ry ; Kang, Yoon Kyoo. / Referred Pain Patterns Of The Third And Fourth Dorsal Interosseous Muscles. In: Pain Physician. 2015 ; Vol. 18, No. 3. pp. 299-304.
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abstract = "Background: Myofascial pain (MP) is a common disorder that can involve any skeletal muscle in the human body. There are no published reports of the referred pain patterns of the third and fourth dorsal interosseous muscles. Objective: To investigate the referred pain patterns of the third and fouth dorsal interosseous muscles. Study Design: Prospective evaluation. Setting: Academic medical center. Methods: Twenty healthy adults participated in the study. Needle placement and injection of 0.2 mL 6{\%} hypertonic saline solution into the midpoint of the interosseous muscles were performed under ultrasonographic (US) guidance. After the injections, the participants were instructed to wait until they felt the most pain and then draw a pain diagram. This drawing was transferred to the computer for analysis. Results: The referred pain distributions for the third dorsal interosseous muscle were as follows: the interdigital space of the third and fourth fingers, 80{\%}; the distal phalanx of the third and fourth fingers, 45{\%}; and the ulnar side of the palm, 55{\%}. Three and 6 participants reported pain on the volar side of the wrist and in the fifth finger, respectively. The referred pain distributions for the fourth dorsal interosseous muscle were as follows: the interdigital space of the fourth and fifth fingers, 80{\%}; the hypothenar area, 65{\%}; and the distal phalanx of the fourth and fifth fingers, 60{\%}. Seven and 3 participants also reported pain on the ulnar side of the wrist and the ulnar side of the forearm, respectively. Limitation: This study is limited by its small sample size. Conclusion: Referred pain patterns of the third and fourth interosseous muscles resemble the pain experienced in C7 or C8 radiculopathies or the ulnar neuropathy. Thus, identification of the third and fourth interosseous muscle trigger point should be considered when patients experience pain on the ulnar aspect of the hand and wrist.",
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N2 - Background: Myofascial pain (MP) is a common disorder that can involve any skeletal muscle in the human body. There are no published reports of the referred pain patterns of the third and fourth dorsal interosseous muscles. Objective: To investigate the referred pain patterns of the third and fouth dorsal interosseous muscles. Study Design: Prospective evaluation. Setting: Academic medical center. Methods: Twenty healthy adults participated in the study. Needle placement and injection of 0.2 mL 6% hypertonic saline solution into the midpoint of the interosseous muscles were performed under ultrasonographic (US) guidance. After the injections, the participants were instructed to wait until they felt the most pain and then draw a pain diagram. This drawing was transferred to the computer for analysis. Results: The referred pain distributions for the third dorsal interosseous muscle were as follows: the interdigital space of the third and fourth fingers, 80%; the distal phalanx of the third and fourth fingers, 45%; and the ulnar side of the palm, 55%. Three and 6 participants reported pain on the volar side of the wrist and in the fifth finger, respectively. The referred pain distributions for the fourth dorsal interosseous muscle were as follows: the interdigital space of the fourth and fifth fingers, 80%; the hypothenar area, 65%; and the distal phalanx of the fourth and fifth fingers, 60%. Seven and 3 participants also reported pain on the ulnar side of the wrist and the ulnar side of the forearm, respectively. Limitation: This study is limited by its small sample size. Conclusion: Referred pain patterns of the third and fourth interosseous muscles resemble the pain experienced in C7 or C8 radiculopathies or the ulnar neuropathy. Thus, identification of the third and fourth interosseous muscle trigger point should be considered when patients experience pain on the ulnar aspect of the hand and wrist.

AB - Background: Myofascial pain (MP) is a common disorder that can involve any skeletal muscle in the human body. There are no published reports of the referred pain patterns of the third and fourth dorsal interosseous muscles. Objective: To investigate the referred pain patterns of the third and fouth dorsal interosseous muscles. Study Design: Prospective evaluation. Setting: Academic medical center. Methods: Twenty healthy adults participated in the study. Needle placement and injection of 0.2 mL 6% hypertonic saline solution into the midpoint of the interosseous muscles were performed under ultrasonographic (US) guidance. After the injections, the participants were instructed to wait until they felt the most pain and then draw a pain diagram. This drawing was transferred to the computer for analysis. Results: The referred pain distributions for the third dorsal interosseous muscle were as follows: the interdigital space of the third and fourth fingers, 80%; the distal phalanx of the third and fourth fingers, 45%; and the ulnar side of the palm, 55%. Three and 6 participants reported pain on the volar side of the wrist and in the fifth finger, respectively. The referred pain distributions for the fourth dorsal interosseous muscle were as follows: the interdigital space of the fourth and fifth fingers, 80%; the hypothenar area, 65%; and the distal phalanx of the fourth and fifth fingers, 60%. Seven and 3 participants also reported pain on the ulnar side of the wrist and the ulnar side of the forearm, respectively. Limitation: This study is limited by its small sample size. Conclusion: Referred pain patterns of the third and fourth interosseous muscles resemble the pain experienced in C7 or C8 radiculopathies or the ulnar neuropathy. Thus, identification of the third and fourth interosseous muscle trigger point should be considered when patients experience pain on the ulnar aspect of the hand and wrist.

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