'Putting flesh back onto the bones?' Can we predict soft tissue properties from skeletal and fossil remains?

Estimates of muscle and other soft tissue properties derived from hominin skeletal and fossil remains would greatly enhance descriptions of body size and shape, and prior physical and metabolic capabilities. Presently, the utility of this approach is uncertain given the complex nature of the relationship between muscle and bone. To address various principal issues, peripheral quantitative computed tomography (pQCT) imaging was used to quantify these relationships at the midshaft of the arm, forearm, and lower leg of modern human athletes (runners, field hockey players, swimmers, and cricketers) and control subjects. Given the presumed behavior patterns of prehistoric hominins, the inclusion of highly active human participants was required. Soft tissue and muscle area was compared with bone area, diaphyseal shape, and torsional rigidity. Relationships were found between muscle area and bone area in the arm, and muscle area and torsional rigidity in the forearm. However, the high standard error and prediction error that define these relationships indicate that muscle or other soft tissue predictions derived from hominin fossil or skeletal remains would be untenable. In the tibia, the relationship between soft tissue properties and bone properties were primarily explained by covariation with body size. While the strength of the muscle-bone relationships in the arm and forearm vary among athletes and control subgroups, it appears that habitual upper limb loading performed throughout adolescence neither strengthens nor weakens this relationship. Future attempts to estimate soft tissue properties from osseous tissue may be improved through the use of medical CT or MRI to image complete limb segments and isolate individual muscles.