International Journal of Therapy and Rehabilitation, cilt.24, sa.7, ss.283-288, 2017 (Scopus)
Aims: A hydatid cyst is an endemic parasitic disease that can be formed anywhere in the body, including muscles (3-5% of cases). The cyst can be misdiagnosed in early stages with muscular trigger points. Needling is the popular physical therapy approach in trigger point treatments. Misuse in needling can cause punctures in hydatid cysts and lead to death. The aim of this study was to summarise the available evidence on the manifestation of hydatid cysts in the trapezius muscle. Methods: A search was conducted for any reports of differential diagnosis or misdiagnosis of hydatid cysts and trigger points. Computerised literature searches were performed among publications between 1950 and December 2015 using the following databases: PubMed, Science Direct, SCOPUS, Ovid MEDLINE, CINAHL, Cochrane, and AMED. Results: Only three studies met the inclusion criteria. All three patients were females under 30 and all three had undergone surgery; two received medical treatment. No misdiagnosis with trigger points was reported and consequently there was no case of needling misuse in hydatid cysts either. However, it does not imply the absence of any clinical case. Conclusions: The current study intends to remind the importance of an accurate diagnosis before using needling as a trigger point treatment.