Cross-sectional area measurements versus volumetric assessment of the quadriceps femoris muscle in patients with anterior cruciate ligament reconstructions

Marcon, Magda; Ciritsis, Bernhard; Laux, Christoph J.; Nanz, Daniel; Nguyen-Kim, Thi Dan Linh; Fischer, Michael A.; Andreisek, Gustav; Ulbrich, Erika J.

doi:10.1007/s00330-014-3424-2

Cited by 31 publications

(40 citation statements)

References 50 publications

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“…The CI did not cross zero in the study demonstrating a large, negative effect size. The study with the small, negative effect size and the study with the moderate, negative effect size had CIs that crossed zero, indicating there was not a meaningful difference between limbs.…”

Section: Resultsmentioning

confidence: 96%

“…Three studies assessed quadriceps CSA after ACLR . Of these three studies, one demonstrated a large, negative effect size, one demonstrated a moderate, negative effect size, and one demonstrated a small, negative effect size .…”

Section: Resultsmentioning

confidence: 99%

“…Using the modified Downs and Black checklist, assessment of the methodological quality of the 11 studies categorized five of the studies as low quality, 24,[41][42][43] five studies as moderate quality, 12,25,28,[44][45][46] and one study as high quality. 47 Table 2 (muscle volume) and Table 3 (CSA) contain a detailed description of the methodological quality assessment of each included article.…”

Section: Methodological Qualitymentioning

confidence: 99%

“…12,25,42 Of these three studies, one 12 demonstrated a large, negative effect size, one 25 demonstrated a moderate, negative effect size, and one demonstrated a small, negative effect size. 42 The CI did not cross zero in the study 12 demonstrating a large, negative effect size. The study 42 with the small, negative effect size and the study 25 with the moderate, negative effect size had CIs that crossed zero, indicating there was not a meaningful difference between limbs.…”

Section: Quadriceps Csamentioning

confidence: 98%

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Quadriceps Muscle Size Following ACL Injury and Reconstruction: A Systematic Review

Birchmeier

Lisee

Kane

et al. 2019

Journal Orthopaedic Research

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Image‐based assessments of quadriceps muscle size facilitate examination of structural changes after anterior cruciate ligament (ACL) injury and reconstruction (ACLR). Understanding the effects of ACLR on muscle size measures may aid in clarifying the contribution of quadriceps atrophy toward quadriceps strength. The purpose of this study was to systematically review the literature examining the effects of ACLR on quadriceps muscle volume and cross‐sectional area (CSA). An online database search was conducted using Web of Science, SportDISCUS, PubMed (Medline), CINHAL (EBSCO), and Cochrane Library limited to articles published after January 1, 1980. Means and standard deviations were extracted for the ACLR limb and the contralateral limb, and sample characteristics from relevant articles. Magnitude of between limb differences were assessed using pooled effect sizes (Hedge's g) and 95% confidence intervals. Eleven articles (five CSA, six muscle volume) were included in this systematic review. Included studies reported negative effective sizes, indicating that the ACLR limb was smaller in CSA or muscle volume compared with the contralateral limb; however, 36% of the included articles reported meaningful difference between the limbs. Quadriceps atrophy may occur following ACL injury and persist after rehabilitation, however, the magnitude of these reductions may not be clinically meaningful and may only partially explain the persistent quadriceps weakness that is ubiquitous among this patient population. © 2019 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 38:598–608, 2020

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Section: Methodological Qualitymentioning

confidence: 99%

Section: Quadriceps Csamentioning

confidence: 98%

See 2 more Smart Citations

Quadriceps Muscle Size Following ACL Injury and Reconstruction: A Systematic Review

Birchmeier

Lisee

Kane

et al. 2019

Journal Orthopaedic Research

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“…[4][5][6][7][8][9][10] The CSA measurement may not be representative of muscle volume, depending on the level of estimation along the muscle's length, and can be affected by the shape of the muscles. 11,12 As the lumbar conically shaped multifidus crosses 3 or more vertebral segments, measurement of the CSA using conventional magnetic resonance imaging (MRI) may be inadequate to predict the morphology or integrity of the entire muscle.…”

mentioning

confidence: 99%

Can diffusion tensor imaging and tractography represent cross‐sectional area of lumbar multifidus in patients with LUMBAR spine disease?

Jung

2017

Muscle and Nerve

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Novel lateral whole‐body dual‐energy X‐ray absorptiometry of lumbar paraspinal muscle mass: results from the SarcoSpine study

Lee

Kim

Park

et al. 2021

J cachexia sarcopenia muscle

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Background Here, we aimed to propose novel lateral whole‐body dual‐energy X‐ray absorptiometry (lateral DXA) as a simple tool for measuring spinal muscle mass and investigate the feasibility of lateral DXA to measure lumbar paraspinal muscle (LPM) mass compared with lumbosacral spine three‐dimensional magnetic resonance imaging (3D MRI). Methods Twenty consecutive participants were enrolled from a prospective observational cohort (SarcoSpine study). Lateral DXA was scanned with each participant in the lateral decubitus position. The region of interest was defined to analyse the LPM mass. LPM total volume, LPM cross‐sectional area at the L3 mid‐vertebra and L4/5 mid‐disc levels and each signal intensity were measured by 3D MRI. Isokinetic and isometric back extensor muscle strengths as well as back extensor endurance were examined. The correlation between lateral DXA‐based mass (weight) and 3D MRI‐based LPM volume was analysed. Results The mean age of the 20 participants (15 women, 5 men) was 72.2 ± 4.9 years. LPM mass by lateral DXA was positively correlated with LPM volume by 3D MRI (β = 0.333, r = 0.692, p < 0.001) and negatively correlated with signal intensity of the total LPM (β = −0.263, r = −0.530, p = 0.016). LPM mass was also correlated with appendicular limb muscle mass, handgrip strength and gait speed as well as back extensor endurance (r = 0.620, p = 0.004). Conclusions Our data suggest that LPM mass assessed by lateral DXA was positively correlated with LPM volume by 3D MRI in older adults. Lateral DXA may be a potential substitute for the cross‐sectional area measurement of LPM mass. Further studies are required to validate this lateral DXA technique.

show abstract

Cross-sectional area measurements versus volumetric assessment of the quadriceps femoris muscle in patients with anterior cruciate ligament reconstructions

Cited by 31 publications

References 50 publications

Quadriceps Muscle Size Following ACL Injury and Reconstruction: A Systematic Review

Quadriceps Muscle Size Following ACL Injury and Reconstruction: A Systematic Review

Can diffusion tensor imaging and tractography represent cross‐sectional area of lumbar multifidus in patients with LUMBAR spine disease?

Novel lateral whole‐body dual‐energy X‐ray absorptiometry of lumbar paraspinal muscle mass: results from the SarcoSpine study

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