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Related Experiment Video

Updated: Jul 19, 2026

Human Vastus Lateralis Skeletal Muscle Biopsy Using the Weil-Blakesley Conchotome
07:16

Human Vastus Lateralis Skeletal Muscle Biopsy Using the Weil-Blakesley Conchotome

Published on: March 4, 2016

Diagnostic yield associated with multiple simultaneous skeletal muscle biopsies.

Richard A Prayson1

  • 1Department of Anatomic Pathology, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.

American Journal of Clinical Pathology
|November 1, 2006
PubMed
Summary

Biopsying two muscles simultaneously aids diagnosing skeletal muscle disorders, especially inflammatory myopathies, by increasing diagnostic yield. This approach is crucial as single biopsies may miss treatable conditions.

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Area of Science:

  • Neurology
  • Pathology
  • Muscle Diseases

Background:

  • Skeletal muscle disorders can exhibit regional variability.
  • Simultaneous biopsy of multiple muscles may improve diagnostic accuracy.
  • Limited literature supports the efficacy of multi-site muscle biopsy.

Purpose of the Study:

  • To evaluate the diagnostic utility of simultaneous multi-muscle biopsies.
  • To determine the concordance of diagnoses between simultaneously biopsied muscles.
  • To assess the impact of multi-site biopsy on diagnosing inflammatory myopathies.

Main Methods:

  • Retrospective review of 99 cases over 8 years.
  • Analysis of clinical symptoms and diagnoses from simultaneous muscle biopsies.
  • Comparison of diagnoses between two biopsied muscles per case.

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Preparation and Respirometric Assessment of Mitochondria Isolated from Skeletal Muscle Tissue Obtained by Percutaneous Needle Biopsy
11:27

Preparation and Respirometric Assessment of Mitochondria Isolated from Skeletal Muscle Tissue Obtained by Percutaneous Needle Biopsy

Published on: February 7, 2015

Collection of Skeletal Muscle Biopsies from the Superior Compartment of Human Musculus Tibialis Anterior for Mechanical Evaluation
05:18

Collection of Skeletal Muscle Biopsies from the Superior Compartment of Human Musculus Tibialis Anterior for Mechanical Evaluation

Published on: September 27, 2020

Related Experiment Videos

Last Updated: Jul 19, 2026

Human Vastus Lateralis Skeletal Muscle Biopsy Using the Weil-Blakesley Conchotome
07:16

Human Vastus Lateralis Skeletal Muscle Biopsy Using the Weil-Blakesley Conchotome

Published on: March 4, 2016

Preparation and Respirometric Assessment of Mitochondria Isolated from Skeletal Muscle Tissue Obtained by Percutaneous Needle Biopsy
11:27

Preparation and Respirometric Assessment of Mitochondria Isolated from Skeletal Muscle Tissue Obtained by Percutaneous Needle Biopsy

Published on: February 7, 2015

Collection of Skeletal Muscle Biopsies from the Superior Compartment of Human Musculus Tibialis Anterior for Mechanical Evaluation
05:18

Collection of Skeletal Muscle Biopsies from the Superior Compartment of Human Musculus Tibialis Anterior for Mechanical Evaluation

Published on: September 27, 2020

Main Results:

  • Diagnoses were consistent in both muscles in 55% of cases.
  • A diagnosis was obtained from only one biopsy in 17% of cases.
  • For inflammatory myopathies, 34% of diagnoses required only one biopsy, highlighting potential missed diagnoses with single-site biopsies.

Conclusions:

  • Simultaneous multi-muscle biopsy increases the likelihood of diagnosing skeletal muscle disorders.
  • Biopsying two sites is justified in suspected inflammatory myopathies to avoid missed diagnoses.
  • This approach enhances diagnostic yield for regional muscle pathologies.