Ultrasound assessment of rectus femoris and anterior tibialis muscles in young trauma patients

Annetta, Maria Giuseppina; Pittiruti, Mauro; Silvestri, Davide; Grieco, Domenico Luca; Maccaglia, Alessio; Torre, Michele Fabio la; Magarelli, Nicola; Mercurio, G; Caricato, Anselmo; Antonelli, Massimo

doi:10.1186/s13613-017-0326-x

Cited by 42 publications

(71 citation statements)

References 49 publications

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“…In particular, a 3-week follow-up study employed ultrasonography to evaluate RF muscle in terms of the morphological changes and found severe muscle mass loss in CSA and muscle diameter experienced by all the ICU trauma patients. By day 20, approximately 45% of RF muscle mass was lost [30]. Consequently, in comparison to upper limbs, lower limbs muscles experience earlier and greater atrophy.…”

Section: Discussionmentioning

confidence: 99%

Changes in Quantitative Muscle Ultrasound for Diagnosis of Intensive Care Unit-Acquired Weakness in Critically Ill Patients

Zhang

et al. 2020

Preprint

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Background: A common occurrence in severe illness is muscle wasting, which is defined as intensive care unit acquired weakness (ICU-AW) and characterized by flaccid tetraparesis with areflexia or hyporeflexia. Many studies revealed the tendency of changes in quantitative muscle ultrasound parameters in critical illnesses; however, the relation between those changes in muscle parameters and intensive care unit acquired weakness was unknown.Objectives: Using the Medical Research Council Criteria, test the accuracy in diagnosis of changes in quantitative muscle ultrasound for diagnosing intensive care unit acquired weakness.Methods: Patients who were conscious and positively responded to verbal commands with facial muscles were subjected to quantitative muscle ultrasonography including measuring thickness and cross-sectional area of biceps brachii (BB) muscle, vastus intermedius (VI) muscle, and rectus femoris (RF) muscles for 4 times in the next 10 days after assessing their muscle strength using the Medical Research Council score. Assessment of the diagnostic accuracy of changes in cross-sectional area and thickness of different muscle groups was made using area under the curve of the receiver operating characteristic curve (ROC–AUC). We also calculated specificity, sensitivity, negative predictive value, positive predictive value, and diagnostic accuracy of 15% threshold for reduction of thickness and 12% threshold for reduction of cross-sectional area.Results: 37 patients underwent muscle ultrasonography for 4 times and 24 were found to have ICW-AW. ROC–AUC of changes in muscle parameters were acceptable and ranged from 0.647 to 0.727. The changes in the thickness of vastus intermedius muscle on both sides while the change in thickness and cross-sectional area of rectus femoris muscle on the right side showed good diagnostic accuracy and ranged from 75.7% to 78.4%.Conclusions: Ultrasonography of the changes in muscle parameters with good diagnostic accuracy is an alternative approach for making a diagnosis of intensive care unit acquired weakness. Particularly, changes in the thickness of vastus intermedius muscle on both sides and changes in thickness and cross-sectional area of rectus femoris muscle on the right side have diagnostic potential.

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Section: Discussionmentioning

confidence: 99%

Changes in Quantitative Muscle Ultrasound for Diagnosis of Intensive Care Unit-Acquired Weakness in Critically Ill Patients

Zhang

et al. 2020

Preprint

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“…In humans, US measurements of the RF thickness and TSA were found to significantly relate with DEXA and CT and were also strongly associated with limb function and strength during recovery. 11,15,26,27 To the best of the authors' knowledge, no similar studies have been published in dogs. In our study population, measurements of the RF thickness did not reveal any significant changes between time points.…”

Section: Discussionmentioning

confidence: 99%

“…5 Due to these limitations, diagnostic ultrasound (US) evaluation for the measurement of muscle mass as well as its association with limb function and strength has been extensively investigated in humans. [11][12][13][14][15] In systematic reviews, real-time brightness mode (B-mode) US in humans was found to provide valid measurements of skeletal muscle thickness compared with advanced imaging. 11,16 Unlike CT or MRI, US is portable, relatively inexpensive, noninvasive and without radiation exposure.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Ultrasound Detection of Changes in Femoral Muscle Mass Recovery after Tibial Plateau Levelling Osteotomy in Dogs

Frank

Duerr

Zanghi³

et al. 2019

Vet Comp Orthop Traumatol

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Objective The goal of this study was to develop a clinically feasible ultrasound (US) protocol that can detect changes in thigh muscle mass in dogs after stifle surgery. The primary aim of this study was to compare previously described US measurement locations of the canine thigh for detecting changes in muscle mass in dogs recovering from tibial plateau levelling osteotomy (TPLO). Study Design This was a prospective, exploratory pilot study. Adult dogs (n = 7) undergoing pet-owner elected TPLO were enrolled. Twelve different US measurements were performed in triplicate by a single experienced observer. Measurements were performed at 0, 2, 4 and 8 weeks after surgery at a proximal and distal location along the femur. Data from all available time points and locations were analysed for the main effect of time within modalities. Results A total of 1,008 US measurements were performed. Measurements of the transverse sectional area of the rectus femoris muscle detected significant (p ≤ 0.05) muscle loss between weeks 0 and 2 at the lateral and medial aspects of the distal location (19% and 15% respectively). Measurements of the thigh muscle thickness were significantly (p < 0.01) increased between 2nd- and 8th- week time points at the lateral aspect of the proximal location (26%). Conclusion The proximal femoral location, measured from the lateral aspect, appears to be the most suitable US measurement for detecting increases in femoral muscle mass in dogs recovering from TPLO. The provided pilot data suggest that further research evaluating this outcome measure is indicated.

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“…Based on previous studies (Annetta et al, 2017) [13]. who reported that there was a increased loss of muscle mass up to 20 days after admission to ICU, the degree of RF loss was (45%) and for the AT (22%).…”

Section: Sample Size and Power Of Studymentioning

confidence: 95%

Ultrasonography evaluation of rectus femoris and anterior tibialis muscles for nutritional assessment in cirrhotic patients undergoing major abdominal surgery

Ibrahim

Zayed

Amin

et al. 2020

Egyptian Journal of Anaesthesia

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Objectives: This prospective cohort study evaluate the reliability of ultrasonography in nutritional assessment for patients with liver cirrhosis undergoing major abdominal surgery by follow up the quantitative and morphological changes of rectus femoris (RF) and anterior tibialis (AT) muscles. Methods: Seventy-two adults cirrhotic patients, subjective global assessment grade (SGA A&B) scheduled for major abdominal surgery were assessed preoperative and postoperative days (POD) 1, 3, 5 and 7 in ICU using anthropometric measurements, laboratory investigations, ultrasonography for cross-sectional area (CSA), anteroposterior (AP) and laterolateral (LL) diameters of (RF) and (AT) muscles and record hospital stay time. Results: We reported significant decrease in all measures of RF and AT muscle masses (CSA, AP and LL) diam. started early after ICU admission up to 7 days. All statistically significant decreased compared to POD0 and 1 (p = 0.000). There was 0.56%, 2.05%, 3.28% and 3.67% loss of CSA of RF at POD1, POD3, POD5 and POD7 correspondingly. As well as there was 0.23%, 1.03%, 1.84%, 2.49% loss of CSA of AT in POD1, POD3, POD5 and POD7 correspondingly. Echogenicity score of both muscles were significant increase in POD3, 5 and 7 compared to POD0 (p = 0.000). Conclusion: We used the ultrasound easily for skeletal muscle assessments as well as it helped us to detect the qualitative changes of these muscles and subsequently it can be used as a nutritional assessment tool in LC patients. Muscle US is an emerging tool can used in nutritional guided protocol on malnourished hepatic patient in the future.

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Ultrasound assessment of rectus femoris and anterior tibialis muscles in young trauma patients

Cited by 42 publications

References 49 publications

Changes in Quantitative Muscle Ultrasound for Diagnosis of Intensive Care Unit-Acquired Weakness in Critically Ill Patients

Changes in Quantitative Muscle Ultrasound for Diagnosis of Intensive Care Unit-Acquired Weakness in Critically Ill Patients

Diagnostic Ultrasound Detection of Changes in Femoral Muscle Mass Recovery after Tibial Plateau Levelling Osteotomy in Dogs

Ultrasonography evaluation of rectus femoris and anterior tibialis muscles for nutritional assessment in cirrhotic patients undergoing major abdominal surgery

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