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. 2025 Feb 22;26:183. doi: 10.1186/s12891-025-08430-4

Table 4.

FH patient xanthoma subgroup analysis of Achilles tendon MRI characteristics and biomechanical outcomes

Outcome Xanthoma No-xanthoma p-value Statistic Effect size
Participants (female/male) 8 (4/4) 25 (12/13)
CSA (mm2) 117 ± 29 [93–141] 75.7 ± 20 [68–84] 0.004 t=-3.767 1.85
Tendon thickness (mm) 8.4 ± 1.8 [6.9–9.9] 6.7 ± 1.7 [5.9–7.4] 0.034 t=-2.434 0.99
Total lipid content (AU) 5.4 ± 2.7 [3.1–7.7] 3.2 ± 1.0 [2.8–3.7] 0.062 t=-2.184 1.08
Total water content (AU) 7.4 ± 2.6 [5.2–9.5] 4.7 ± 1.8 [3.9–5.4] 0.02 t=-2.8 1.21
Stiffness (N/mm) 344 ± 93 [266–423] 384 ± 91 [346–422] 0.314 t = 1.053 0.44
Young’s mod. (MPa) 657 ± 258 [442–873] 1128 ± 340 [988–1270] 0.001 t = 4.145 1.46
Peak strain (%) 7.9 ± 1.9 [6.3–9.5] 6.0 ± 1.7 [5.3–6.7] 0.029 t=-2.606 1.09
Peak tendon force (N) 3880 ± 550 [3421–4340] 3456 ± 693 [3170–3742] 0.096 t=-1.778 0.64
Peak stress (N/mm2) 39.4 ± 8.5 [32.3–46.7] 52.5 ± 14 [46.7–58.3] 0.005 t = 2.462 1.01
RFD (N/sec) 1600 ± 613 [1088–2113] 1330 ± 599 [1083–1577] 0.297 t=-1.092 0.62

Group descriptives displayed as mean ± SD [95% CI]. p-values and test statistic obtained through Welch’s t-tests. Effect size calculated as Cohen’s d. CSA = cross-sectional area; AU = arbitrary units; RFD = rate of force development