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  • 7/23/2019 Lecture 9 Muscles

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    Photographs of the Child at the Ages of Six Days and SevenMonths (Panel A), Ultrasonograms (Panel B) and Morphometric

    Analysis (Panel C) of the Muscles of the Patient and a Control

    Infant, and the Patient's Pedigree (Panel D).

    The arrowheads in Panel A indicate the protruding muscles of the

    patient's thigh and calf. In Panel B, an ultrasonographic

    transverse section (linear transducer, 10 MHz) through the

    middle portion of the thigh reveals differences between the

    patient and a control infant of the same age, sex, and weight. VL

    denotes vastus lateralis, VI vastus intermedius, VM vastus

    medialis, RF rectus femoris, and F femur. In Panel C, retracings

    of the muscle outlines and results of the morphometric analysis

    of the muscle cross-sectional planes of the two infants also reveal

    marked differences. Panel D shows the patient's pedigree. Solid

    symbols denote family members who are exceptionally strong,

    according to information in their clinical history. Square symbols

    denote male family members, and circles female family

    members.

    .

    Schuelke et al. (2004). Myostatin Mutation Associated with Gross

    Muscle Hypertrophy in a Child.N Engl J Med350: 2682-8.

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