RELIABILITY OF DISTAL HAMSTRING TENDON LENGTH AND CROSS-SECTIONAL AREA USING 3-D FREEHAND ULTRASOUND

objective of this study was to investigate the reliability of distal hamstring tendon morphology using freehand 3-D ultrasound (US). Freehand 3-D US scans were acquired for 16 young males and females, in two sessions, spaced a week apart. The length, volume, cross-sectional area (CSA) and echo intensity (EI) of the semitendinosus (ST), biceps femoris long and short head and semimembranosus (SM) tendons were acquired. Measurements of the CSA and EI were obtained from three sites along each tendon. The intra-class correlation coefficients ranged from 0.88-0.99 of the examined variables, indicating high test-retest reliability. In addition, the minimal detectable change (MDC) ranged from 0.255-3.766 mm (MDC% of the mean: 0.406%-12.558%) for hamstring tendon length, from 0.036-0.077 mL (MDC%: 1.548%-3.178%) for tendon volume, from 0.512-1.948 mm2 (MDC%: 0.702%-3.586%) for CSA and from 0.898-2.586 au (MDC%: 1.145%-3.325%) for EI. Of the four hamstring tendons, ST had the greatest length (141.587 +/- 10.701 mm) and EI (94.637 +/- 5.536 au), while SM had the greatest volume (3.056 +/- 0.421 mL) and CSA (115.277 +/- 16.442 mm2) relative to other tendons. Freehand 3-D US appears to be a reliable tool for the evaluation of hamstring distal tendon morphology; hence, its use for in vivo evaluation of tendon properties is promising. (E-mail: Chrysosto@phed-sr.auth.gr) (c) 2021 World Federation for Ultrasound in Medicine & Biology. All rights reserved.

Automated summary

The study found that freehand 3-D ultrasound is a reliable tool for evaluating distal hamstring tendon morphology, with high test-retest reliability observed for the measured variables.