Clinical Utility of Ultrasound Imaging for Measuring Anterior Thigh Thickness after Anterior Cruciate Ligament Injury in an Individual Patient to Assess Postsurgery Outcome

The present study investigated the clinical utility of ultrasound imaging (USI) for assessing changes in an individual’s quadriceps muscle and subcutaneous fat (SF) thickness of the anterior thigh and their relative proportions. A patient was studied prior to and after anterior cruciate ligament rec...

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Main Authors: Filippo Mechelli, Richard Bayford, Hemda Garelick, Maria Stokes, Sandra Agyapong-Badu
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2023/6672951
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author Filippo Mechelli
Richard Bayford
Hemda Garelick
Maria Stokes
Sandra Agyapong-Badu
author_facet Filippo Mechelli
Richard Bayford
Hemda Garelick
Maria Stokes
Sandra Agyapong-Badu
author_sort Filippo Mechelli
collection DOAJ
description The present study investigated the clinical utility of ultrasound imaging (USI) for assessing changes in an individual’s quadriceps muscle and subcutaneous fat (SF) thickness of the anterior thigh and their relative proportions. A patient was studied prior to and after anterior cruciate ligament reconstruction (ACLR) surgery and during rehabilitation. This case study involved an 18-year-old female recreational athlete with a complete tear of the anterior cruciate ligament (ACL). Tissue thickness (SF and quadriceps muscle) was measured from transverse USI of the anterior thigh before surgery, at weekly intervals during 12 weeks of postsurgery, and then every 2 weeks for the following 12 weeks (total of 21 measurement sets). Statistically significant differences presurgery to postrehabilitation were found for muscle thickness (p=0.04) and SF tissue thickness (p=0.04) measurements. There was no difference in muscle to fat ratio (p=0.08). Changes in measurements greater than the reported minimal detectable change (MDC) demonstrate the sensitivity of the USI technique as an objective tool to assess clinically useful changes in an individual’s anterior thigh muscle thickness post-ACLR surgery and during rehabilitation.
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spelling doaj-art-b863eccd1cbd4aabab370832a2018bfd2025-08-20T03:05:10ZengWileyCase Reports in Orthopedics2090-67572023-01-01202310.1155/2023/6672951Clinical Utility of Ultrasound Imaging for Measuring Anterior Thigh Thickness after Anterior Cruciate Ligament Injury in an Individual Patient to Assess Postsurgery OutcomeFilippo Mechelli0Richard Bayford1Hemda Garelick2Maria Stokes3Sandra Agyapong-Badu4Private practiceFaculty of Science and TechnologyFaculty of Science and TechnologySchool of Health SciencesSchool of SportThe present study investigated the clinical utility of ultrasound imaging (USI) for assessing changes in an individual’s quadriceps muscle and subcutaneous fat (SF) thickness of the anterior thigh and their relative proportions. A patient was studied prior to and after anterior cruciate ligament reconstruction (ACLR) surgery and during rehabilitation. This case study involved an 18-year-old female recreational athlete with a complete tear of the anterior cruciate ligament (ACL). Tissue thickness (SF and quadriceps muscle) was measured from transverse USI of the anterior thigh before surgery, at weekly intervals during 12 weeks of postsurgery, and then every 2 weeks for the following 12 weeks (total of 21 measurement sets). Statistically significant differences presurgery to postrehabilitation were found for muscle thickness (p=0.04) and SF tissue thickness (p=0.04) measurements. There was no difference in muscle to fat ratio (p=0.08). Changes in measurements greater than the reported minimal detectable change (MDC) demonstrate the sensitivity of the USI technique as an objective tool to assess clinically useful changes in an individual’s anterior thigh muscle thickness post-ACLR surgery and during rehabilitation.http://dx.doi.org/10.1155/2023/6672951
spellingShingle Filippo Mechelli
Richard Bayford
Hemda Garelick
Maria Stokes
Sandra Agyapong-Badu
Clinical Utility of Ultrasound Imaging for Measuring Anterior Thigh Thickness after Anterior Cruciate Ligament Injury in an Individual Patient to Assess Postsurgery Outcome
Case Reports in Orthopedics
title Clinical Utility of Ultrasound Imaging for Measuring Anterior Thigh Thickness after Anterior Cruciate Ligament Injury in an Individual Patient to Assess Postsurgery Outcome
title_full Clinical Utility of Ultrasound Imaging for Measuring Anterior Thigh Thickness after Anterior Cruciate Ligament Injury in an Individual Patient to Assess Postsurgery Outcome
title_fullStr Clinical Utility of Ultrasound Imaging for Measuring Anterior Thigh Thickness after Anterior Cruciate Ligament Injury in an Individual Patient to Assess Postsurgery Outcome
title_full_unstemmed Clinical Utility of Ultrasound Imaging for Measuring Anterior Thigh Thickness after Anterior Cruciate Ligament Injury in an Individual Patient to Assess Postsurgery Outcome
title_short Clinical Utility of Ultrasound Imaging for Measuring Anterior Thigh Thickness after Anterior Cruciate Ligament Injury in an Individual Patient to Assess Postsurgery Outcome
title_sort clinical utility of ultrasound imaging for measuring anterior thigh thickness after anterior cruciate ligament injury in an individual patient to assess postsurgery outcome
url http://dx.doi.org/10.1155/2023/6672951
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