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It was in 2002 when two of us, Steffen Berweck and Florian Heinen,
first began to use sonographic imaging for improved accuracy of
botulinum toxin injections (1,2). During recent years we saw a
rapidly increasing acceptance of this technique. It was obvious
that more and more users realized the importance of accurate toxin
injection for achieving the best possible efficacy of this
substance. Today, sonographically guided injection has become a
standard procedure in pediatric practice and, generally, for
injections into the forearm in upper limb spasticity. In this book
we have tried to summarize the state of the art in the treatment of
spasticity with botulinum toxin. Building up on our earlier book on
this subject (3,4), we expanded the visual material which we
believe allows faster orientation and a clearer approach. We hope
that readers will find this book a source of helpful information
for the effective and safe use of botulinum toxin in the treatment
of spastic movement disorders. Urban Fietzek Steffen Berweck Jörg
Wissel Florian Heinen
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