Personalized volumetric assessment of lower body muscles in patients with knee injuries: A descriptive case series

•Variable patterns of muscle volumes were observed about the hip, knee, and ankle.•Previous injury and contralateral injury likely confound volumetric profiles.•These data support the need for individualized assessment and intervention. Patients with knee joint pathology present with variable muscul...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:The knee 2022-12, Vol.39, p.38-49
Hauptverfasser: Norte, Grant E., Cousins, Matthew, Hogarth, Danielle A., Knaus, Katherine R., Slater, Lindsay V., Blemker, Silvia S., Hart, Joseph M.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 49
container_issue
container_start_page 38
container_title The knee
container_volume 39
creator Norte, Grant E.
Cousins, Matthew
Hogarth, Danielle A.
Knaus, Katherine R.
Slater, Lindsay V.
Blemker, Silvia S.
Hart, Joseph M.
description •Variable patterns of muscle volumes were observed about the hip, knee, and ankle.•Previous injury and contralateral injury likely confound volumetric profiles.•These data support the need for individualized assessment and intervention. Patients with knee joint pathology present with variable muscular responses across the muscles of the lower limb and pelvis. Conventional approaches to characterizing muscle function are limited to gross strength assessments that may overlook subtle changes both in the thigh, hip and shank musculature. To describe individualized patterns of lower extremity muscle volumes in patients with knee pathologies. This was a retrospective case series performed in a University medical center. Nine patients diagnosed with meniscus tear recommended to undergo meniscectomy volunteered. Participants underwent 3.0 Tesla magnetic resonance imaging (MRI) of the lower extremities. Thirty-five MRI-derived muscle volumes were compared between limbs and expressed as percentage asymmetry. For additional context, z-scores were also calculated for mass- and height-normalized muscles and pre-determined muscle groupings relative to a normative database. There were no consistent patterns observed when considering between-limb asymmetries among all patients. The ankle musculature (dorsiflexors, plantar flexors, and invertors) was the only muscle group to be consistently smaller than normal for all patients, with the psoas major and flexor hallucis longus being the only individual muscles. The severity or chronicity of injury and presence of surgical intervention did not appear to have a clear effect on muscle volumes. Patients with a history of meniscal pathology demonstrate inconsistent patterns of lower extremity muscle volumes about the hip, knee, and ankle between limbs and in comparison to uninjured individuals. These data support the need for individualized assessment and intervention in this population.
doi_str_mv 10.1016/j.knee.2022.08.018
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2716525166</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0968016022001429</els_id><sourcerecordid>2716525166</sourcerecordid><originalsourceid>FETCH-LOGICAL-c356t-20697880c4d898eac5d93ca0a22fe7e662423a276142cd3944bab274144b76a93</originalsourceid><addsrcrecordid>eNp9kE1PxCAQhonR6PrxBzwYjl5agbaUGi_G-JWY6EHPhIXZyNqWlWnX6K-XZtWjpyHDM29mHkKOOcs54_Jsmb_1ALlgQuRM5YyrLTLjqi6ySjG2TWaskSpLJNsj-4hLxphsymqX7BWSC1k2xYzEJ4gYetP6L3B0HdqxgyF6Sw0iIHbQDzQsaBs-INJ5cJ-0G9G2gNT3dGUGnwCkH354pdMyqbscowc8p5fUAdroV4NfA7UGgSJMX4dkZ2FahKOfekBebq6fr-6yh8fb-6vLh8wWlRwykZatlWK2dKpRYGzlmsIaZoRYQA1SilIURtSSl8K6oinLuZmLuuTpUUvTFAfkdJO7iuF9BBx059FC25oewoha1FxWouJSJlRsUBsDYoSFXkXfmfipOdOTa73U03l6cq2Z0sl1Gjr5yR_nHbi_kV-5CbjYAJCuXHuIGm3yZcH5CHbQLvj_8r8BmbKRZQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2716525166</pqid></control><display><type>article</type><title>Personalized volumetric assessment of lower body muscles in patients with knee injuries: A descriptive case series</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Norte, Grant E. ; Cousins, Matthew ; Hogarth, Danielle A. ; Knaus, Katherine R. ; Slater, Lindsay V. ; Blemker, Silvia S. ; Hart, Joseph M.</creator><creatorcontrib>Norte, Grant E. ; Cousins, Matthew ; Hogarth, Danielle A. ; Knaus, Katherine R. ; Slater, Lindsay V. ; Blemker, Silvia S. ; Hart, Joseph M.</creatorcontrib><description>•Variable patterns of muscle volumes were observed about the hip, knee, and ankle.•Previous injury and contralateral injury likely confound volumetric profiles.•These data support the need for individualized assessment and intervention. Patients with knee joint pathology present with variable muscular responses across the muscles of the lower limb and pelvis. Conventional approaches to characterizing muscle function are limited to gross strength assessments that may overlook subtle changes both in the thigh, hip and shank musculature. To describe individualized patterns of lower extremity muscle volumes in patients with knee pathologies. This was a retrospective case series performed in a University medical center. Nine patients diagnosed with meniscus tear recommended to undergo meniscectomy volunteered. Participants underwent 3.0 Tesla magnetic resonance imaging (MRI) of the lower extremities. Thirty-five MRI-derived muscle volumes were compared between limbs and expressed as percentage asymmetry. For additional context, z-scores were also calculated for mass- and height-normalized muscles and pre-determined muscle groupings relative to a normative database. There were no consistent patterns observed when considering between-limb asymmetries among all patients. The ankle musculature (dorsiflexors, plantar flexors, and invertors) was the only muscle group to be consistently smaller than normal for all patients, with the psoas major and flexor hallucis longus being the only individual muscles. The severity or chronicity of injury and presence of surgical intervention did not appear to have a clear effect on muscle volumes. Patients with a history of meniscal pathology demonstrate inconsistent patterns of lower extremity muscle volumes about the hip, knee, and ankle between limbs and in comparison to uninjured individuals. These data support the need for individualized assessment and intervention in this population.</description><identifier>ISSN: 0968-0160</identifier><identifier>EISSN: 1873-5800</identifier><identifier>DOI: 10.1016/j.knee.2022.08.018</identifier><identifier>PMID: 36126493</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Arthrogenic ; Atrophy ; Humans ; Knee Injuries - diagnostic imaging ; Knee Injuries - surgery ; Knee Joint - diagnostic imaging ; Knee Joint - physiology ; Knee Joint - surgery ; Morphology ; Muscle Strength - physiology ; Muscle, Skeletal ; Osteoarthritis ; Retrospective Studies</subject><ispartof>The knee, 2022-12, Vol.39, p.38-49</ispartof><rights>2022 Elsevier B.V.</rights><rights>Copyright © 2022 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-20697880c4d898eac5d93ca0a22fe7e662423a276142cd3944bab274144b76a93</citedby><cites>FETCH-LOGICAL-c356t-20697880c4d898eac5d93ca0a22fe7e662423a276142cd3944bab274144b76a93</cites><orcidid>0000-0001-6105-4334 ; 0000-0002-7300-0138 ; 0000-0001-8052-3642 ; 0000-0002-0875-9789</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.knee.2022.08.018$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36126493$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Norte, Grant E.</creatorcontrib><creatorcontrib>Cousins, Matthew</creatorcontrib><creatorcontrib>Hogarth, Danielle A.</creatorcontrib><creatorcontrib>Knaus, Katherine R.</creatorcontrib><creatorcontrib>Slater, Lindsay V.</creatorcontrib><creatorcontrib>Blemker, Silvia S.</creatorcontrib><creatorcontrib>Hart, Joseph M.</creatorcontrib><title>Personalized volumetric assessment of lower body muscles in patients with knee injuries: A descriptive case series</title><title>The knee</title><addtitle>Knee</addtitle><description>•Variable patterns of muscle volumes were observed about the hip, knee, and ankle.•Previous injury and contralateral injury likely confound volumetric profiles.•These data support the need for individualized assessment and intervention. Patients with knee joint pathology present with variable muscular responses across the muscles of the lower limb and pelvis. Conventional approaches to characterizing muscle function are limited to gross strength assessments that may overlook subtle changes both in the thigh, hip and shank musculature. To describe individualized patterns of lower extremity muscle volumes in patients with knee pathologies. This was a retrospective case series performed in a University medical center. Nine patients diagnosed with meniscus tear recommended to undergo meniscectomy volunteered. Participants underwent 3.0 Tesla magnetic resonance imaging (MRI) of the lower extremities. Thirty-five MRI-derived muscle volumes were compared between limbs and expressed as percentage asymmetry. For additional context, z-scores were also calculated for mass- and height-normalized muscles and pre-determined muscle groupings relative to a normative database. There were no consistent patterns observed when considering between-limb asymmetries among all patients. The ankle musculature (dorsiflexors, plantar flexors, and invertors) was the only muscle group to be consistently smaller than normal for all patients, with the psoas major and flexor hallucis longus being the only individual muscles. The severity or chronicity of injury and presence of surgical intervention did not appear to have a clear effect on muscle volumes. Patients with a history of meniscal pathology demonstrate inconsistent patterns of lower extremity muscle volumes about the hip, knee, and ankle between limbs and in comparison to uninjured individuals. These data support the need for individualized assessment and intervention in this population.</description><subject>Arthrogenic</subject><subject>Atrophy</subject><subject>Humans</subject><subject>Knee Injuries - diagnostic imaging</subject><subject>Knee Injuries - surgery</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Knee Joint - physiology</subject><subject>Knee Joint - surgery</subject><subject>Morphology</subject><subject>Muscle Strength - physiology</subject><subject>Muscle, Skeletal</subject><subject>Osteoarthritis</subject><subject>Retrospective Studies</subject><issn>0968-0160</issn><issn>1873-5800</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1PxCAQhonR6PrxBzwYjl5agbaUGi_G-JWY6EHPhIXZyNqWlWnX6K-XZtWjpyHDM29mHkKOOcs54_Jsmb_1ALlgQuRM5YyrLTLjqi6ySjG2TWaskSpLJNsj-4hLxphsymqX7BWSC1k2xYzEJ4gYetP6L3B0HdqxgyF6Sw0iIHbQDzQsaBs-INJ5cJ-0G9G2gNT3dGUGnwCkH354pdMyqbscowc8p5fUAdroV4NfA7UGgSJMX4dkZ2FahKOfekBebq6fr-6yh8fb-6vLh8wWlRwykZatlWK2dKpRYGzlmsIaZoRYQA1SilIURtSSl8K6oinLuZmLuuTpUUvTFAfkdJO7iuF9BBx059FC25oewoha1FxWouJSJlRsUBsDYoSFXkXfmfipOdOTa73U03l6cq2Z0sl1Gjr5yR_nHbi_kV-5CbjYAJCuXHuIGm3yZcH5CHbQLvj_8r8BmbKRZQ</recordid><startdate>202212</startdate><enddate>202212</enddate><creator>Norte, Grant E.</creator><creator>Cousins, Matthew</creator><creator>Hogarth, Danielle A.</creator><creator>Knaus, Katherine R.</creator><creator>Slater, Lindsay V.</creator><creator>Blemker, Silvia S.</creator><creator>Hart, Joseph M.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6105-4334</orcidid><orcidid>https://orcid.org/0000-0002-7300-0138</orcidid><orcidid>https://orcid.org/0000-0001-8052-3642</orcidid><orcidid>https://orcid.org/0000-0002-0875-9789</orcidid></search><sort><creationdate>202212</creationdate><title>Personalized volumetric assessment of lower body muscles in patients with knee injuries: A descriptive case series</title><author>Norte, Grant E. ; Cousins, Matthew ; Hogarth, Danielle A. ; Knaus, Katherine R. ; Slater, Lindsay V. ; Blemker, Silvia S. ; Hart, Joseph M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-20697880c4d898eac5d93ca0a22fe7e662423a276142cd3944bab274144b76a93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Arthrogenic</topic><topic>Atrophy</topic><topic>Humans</topic><topic>Knee Injuries - diagnostic imaging</topic><topic>Knee Injuries - surgery</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Knee Joint - physiology</topic><topic>Knee Joint - surgery</topic><topic>Morphology</topic><topic>Muscle Strength - physiology</topic><topic>Muscle, Skeletal</topic><topic>Osteoarthritis</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Norte, Grant E.</creatorcontrib><creatorcontrib>Cousins, Matthew</creatorcontrib><creatorcontrib>Hogarth, Danielle A.</creatorcontrib><creatorcontrib>Knaus, Katherine R.</creatorcontrib><creatorcontrib>Slater, Lindsay V.</creatorcontrib><creatorcontrib>Blemker, Silvia S.</creatorcontrib><creatorcontrib>Hart, Joseph M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The knee</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Norte, Grant E.</au><au>Cousins, Matthew</au><au>Hogarth, Danielle A.</au><au>Knaus, Katherine R.</au><au>Slater, Lindsay V.</au><au>Blemker, Silvia S.</au><au>Hart, Joseph M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Personalized volumetric assessment of lower body muscles in patients with knee injuries: A descriptive case series</atitle><jtitle>The knee</jtitle><addtitle>Knee</addtitle><date>2022-12</date><risdate>2022</risdate><volume>39</volume><spage>38</spage><epage>49</epage><pages>38-49</pages><issn>0968-0160</issn><eissn>1873-5800</eissn><abstract>•Variable patterns of muscle volumes were observed about the hip, knee, and ankle.•Previous injury and contralateral injury likely confound volumetric profiles.•These data support the need for individualized assessment and intervention. Patients with knee joint pathology present with variable muscular responses across the muscles of the lower limb and pelvis. Conventional approaches to characterizing muscle function are limited to gross strength assessments that may overlook subtle changes both in the thigh, hip and shank musculature. To describe individualized patterns of lower extremity muscle volumes in patients with knee pathologies. This was a retrospective case series performed in a University medical center. Nine patients diagnosed with meniscus tear recommended to undergo meniscectomy volunteered. Participants underwent 3.0 Tesla magnetic resonance imaging (MRI) of the lower extremities. Thirty-five MRI-derived muscle volumes were compared between limbs and expressed as percentage asymmetry. For additional context, z-scores were also calculated for mass- and height-normalized muscles and pre-determined muscle groupings relative to a normative database. There were no consistent patterns observed when considering between-limb asymmetries among all patients. The ankle musculature (dorsiflexors, plantar flexors, and invertors) was the only muscle group to be consistently smaller than normal for all patients, with the psoas major and flexor hallucis longus being the only individual muscles. The severity or chronicity of injury and presence of surgical intervention did not appear to have a clear effect on muscle volumes. Patients with a history of meniscal pathology demonstrate inconsistent patterns of lower extremity muscle volumes about the hip, knee, and ankle between limbs and in comparison to uninjured individuals. These data support the need for individualized assessment and intervention in this population.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>36126493</pmid><doi>10.1016/j.knee.2022.08.018</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-6105-4334</orcidid><orcidid>https://orcid.org/0000-0002-7300-0138</orcidid><orcidid>https://orcid.org/0000-0001-8052-3642</orcidid><orcidid>https://orcid.org/0000-0002-0875-9789</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 0968-0160
ispartof The knee, 2022-12, Vol.39, p.38-49
issn 0968-0160
1873-5800
language eng
recordid cdi_proquest_miscellaneous_2716525166
source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Arthrogenic
Atrophy
Humans
Knee Injuries - diagnostic imaging
Knee Injuries - surgery
Knee Joint - diagnostic imaging
Knee Joint - physiology
Knee Joint - surgery
Morphology
Muscle Strength - physiology
Muscle, Skeletal
Osteoarthritis
Retrospective Studies
title Personalized volumetric assessment of lower body muscles in patients with knee injuries: A descriptive case series
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T19%3A02%3A34IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Personalized%20volumetric%20assessment%20of%20lower%20body%20muscles%20in%20patients%20with%20knee%20injuries:%20A%20descriptive%20case%20series&rft.jtitle=The%20knee&rft.au=Norte,%20Grant%20E.&rft.date=2022-12&rft.volume=39&rft.spage=38&rft.epage=49&rft.pages=38-49&rft.issn=0968-0160&rft.eissn=1873-5800&rft_id=info:doi/10.1016/j.knee.2022.08.018&rft_dat=%3Cproquest_cross%3E2716525166%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2716525166&rft_id=info:pmid/36126493&rft_els_id=S0968016022001429&rfr_iscdi=true