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Table 5 Heckmatt Scale: visual grading scale to classify muscle echo intensity (Ref 17)

From: Ultrasound assessment of rectus femoris and anterior tibialis muscles in young trauma patients

Grade

Ultrasound appearance

Grade 1

Normal

Grade 2

Increased muscle echo intensity with distinct bone echo

Grade 3

Marked increased muscle echo intensity with a reduced bone echo

Grade 4

Very strong muscle echo and complete loss of bone echo