Mechanical testing of intra-articular tissues. Relating experiments to physiological function

Summary There is a wealth of data published on the biomechanical properties of intra-articular tissues. However, much of this information is not intuitively applicable to clinical practice due to both methodological disparity between studies and the relevance of the methodology used to test the biomaterial. This inevitably results in comparison difficulties with other experimental data produced for the same tissue, or indeed different tissues. Therefore, this review highlights the salient issues that need to be considered when trying to interpret biomechanical testing scenarios and how they influence clinical practice. As such, different testing protocols and their clinical relevance are scrutinised. The importance of recreating the physiological loading conditions and the interpretation of the functional anatomy are highlighted.

[1]  H. Stäubli,et al.  Effect of cyclic preconditioning on the tensile properties of human quadriceps tendons and patellar ligaments , 1998, Knee Surgery, Sports Traumatology, Arthroscopy.

[2]  D. Dowson,et al.  Elbow joint force predictions for some strenuous isometric actions. , 1980, Journal of biomechanics.

[3]  M. Miyashita,et al.  In vivo achilles tendon loading' during jumping in humans , 2004, European Journal of Applied Physiology and Occupational Physiology.

[4]  E. Itoi,et al.  Cross-sectional area of the tendon and the muscle of the biceps brachii in shoulders with rotator cuff tears , 2005, Acta orthopaedica.

[5]  P J McMahon,et al.  Deformation and strain characteristics along the length of the anterior band of the inferior glenohumeral ligament. , 2001, Journal of shoulder and elbow surgery.

[6]  A Rohlmann,et al.  A comparison of hip joint forces in sheep, dog and man. , 1984, Journal of biomechanics.

[7]  Measurement of in vivo lumbar intervertebral disc pressure during spinal manipulation: a feasibility study. , 2006, Journal of applied biomechanics.

[8]  Dong Zhao,et al.  In vivo medial and lateral tibial loads during dynamic and high flexion activities , 2007, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[9]  R. Aspden,et al.  Collagen orientations in the meniscus of the knee joint. , 1985, Journal of anatomy.

[10]  V C Mow,et al.  Material properties and structure-function relationships in the menisci. , 1990, Clinical orthopaedics and related research.

[11]  H. Hashizume,et al.  Histologic and scanning electron microscopic study of the glenoid labrum. , 1996, Journal of shoulder and elbow surgery.

[12]  T.H.G. Megson Chapter 7 – Stress and Strain , 2005 .

[13]  R E Hughes,et al.  Force Analysis of Rotator Cuff Muscles , 1996, Clinical orthopaedics and related research.

[14]  D C Holley,et al.  Leg intramuscular pressures during locomotion in humans. , 1998, Journal of applied physiology.

[15]  V Kralj-Iglic,et al.  Determination of contact hip stress from nomograms based on mathematical model. , 2001, Medical engineering & physics.

[16]  J T Dennerlein,et al.  Tensions of the flexor digitorum superficialis are higher than a current model predicts. , 1998, Journal of biomechanics.

[17]  N. Özkaya,et al.  Fundamentals of Biomechanics: Equilibrium, Motion, and Deformation , 1991 .

[18]  Anna Stankiewicz,et al.  Anisotropy, inhomogeneity, and tension-compression nonlinearity of human glenohumeral cartilage in finite deformation. , 2005, Journal of biomechanics.

[19]  M. H. Pope,et al.  The measurement of anterior cruciate ligament strain in vivo , 2004, International Orthopaedics.

[20]  P. McMahon,et al.  Age related biomechanical properties of the glenoid-anterior band of the inferior glenohumeral ligament-humerus complex. , 1999, Clinical biomechanics.

[21]  D L Butler,et al.  In vitro evaluation of an implantable force transducer (IFT) in a patellar tendon model. , 1993, Journal of biomechanical engineering.

[22]  A. Amis,et al.  The attachments of the fiber bundles of the posterior cruciate ligament: an anatomic study. , 2007, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[23]  L. Finsen,et al.  Muscle Sizes and Moment Arms of Rotator Cuff Muscles Determined by Magnetic Resonance Imaging , 2000, Cells Tissues Organs.

[24]  B. Beynnon,et al.  Anterior cruciate ligament strain in-vivo: a review of previous work. , 1998, Journal of biomechanics.

[25]  J. McGeough,et al.  Anisotropic response of the human knee joint meniscus to unconfined compression , 2000, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[26]  Andrew A. Amis,et al.  A novel technique to measure active tendon forces: application to the subscapularis tendon , 2005, Knee Surgery, Sports Traumatology, Arthroscopy.

[27]  R. Grebe,et al.  Relationship between ultrastructure and biomechanical properties of the knee meniscus , 2005, Surgical and Radiologic Anatomy.

[28]  G. Bergmann,et al.  Hip contact forces and gait patterns from routine activities. , 2001, Journal of biomechanics.

[29]  D. E. Cooper,et al.  Anatomy, histology, and vascularity of the glenoid labrum. An anatomical study. , 1992, The Journal of bone and joint surgery. American volume.

[30]  D L Butler,et al.  In vivo forces in the anterior cruciate ligament: direct measurements during walking and trotting in a quadruped. , 1994, Journal of biomechanics.

[31]  M L Hull,et al.  Is the circumferential tensile modulus within a human medial meniscus affected by the test sample location and cross‐sectional area? , 2000, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[32]  R. Seldes,et al.  Anatomy, Histologic Features, and Vascularity of the Adult Acetabular Labrum , 2001, Clinical orthopaedics and related research.

[33]  B B Seedhom,et al.  The 'instantaneous' compressive modulus of human articular cartilage in joints of the lower limb. , 1999, Rheumatology.

[34]  V C Mow,et al.  Variations in the intrinsic mechanical properties of human articular cartilage with age, degeneration, and water content. , 1982, The Journal of bone and joint surgery. American volume.

[35]  M. Daniel,et al.  Computer Determination of Contact Stress Distribution and Size of Weight Bearing Area in the Human Hip Joint , 2002, Computer methods in biomechanics and biomedical engineering.

[36]  W. Petersen,et al.  Structure and vascularization of the acetabular labrum with regard to the pathogenesis and healing of labral lesions , 2003, Archives of Orthopaedic and Trauma Surgery.

[37]  Guillermo Aguilar,et al.  Characterization of temperature dependent mechanical behavior of cartilage , 2003, Lasers in surgery and medicine.

[38]  A. Viidik,et al.  Simultaneous mechanical and light microscopic studies of collagen fibers , 2004, Zeitschrift für Anatomie und Entwicklungsgeschichte.

[39]  D L Butler,et al.  Location-dependent variations in the material properties of the anterior cruciate ligament. , 1992, Journal of biomechanics.

[40]  D T Davy,et al.  Telemetric force measurements across the hip after total arthroplasty. , 1988, The Journal of bone and joint surgery. American volume.

[41]  Y. T. Kim,et al.  The nerve endings of the acetabular labrum. , 1995, Clinical orthopaedics and related research.

[42]  R. Hawkins,et al.  Tension studies of human knee ligaments. Yield point, ultimate failure, and disruption of the cruciate and tibial collateral ligaments. , 1976, The Journal of bone and joint surgery. American volume.

[43]  G A Ateshian,et al.  Mechanical response of bovine articular cartilage under dynamic unconfined compression loading at physiological stress levels. , 2004, Osteoarthritis and cartilage.

[44]  R W Mann,et al.  Contact pressures from an instrumented hip endoprosthesis. , 1989, The Journal of bone and joint surgery. American volume.

[45]  R W Mann,et al.  Hip muscle co-contraction: evidence from concurrent in vivo pressure measurement and force estimation. , 1999, Gait & posture.

[46]  T. English,et al.  In vivo records of hip loads using a femoral implant with telemetric output (a preliminary report). , 1979, Journal of biomedical engineering.

[47]  G. Bergmann,et al.  Musculo-skeletal loading conditions at the hip during walking and stair climbing. , 2001, Journal of biomechanics.

[48]  B B Seedhom,et al.  A technique for measuring the compressive modulus of articular cartilage under physiological loading rates with preliminary results , 1997, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[49]  A Rohlmann,et al.  In vivo glenohumeral contact forces--measurements in the first patient 7 months postoperatively. , 2007, Journal of biomechanics.

[50]  A. M. Ahmed,et al.  Tensile stress-strain characteristics of the human meniscal material. , 1995, Journal of biomechanics.

[51]  D. Dowson,et al.  Muscle Strengths and Musculoskeletal Geometry of the Upper Limb , 1979 .

[52]  A. Race,et al.  Effect of loading rate and hydration on the mechanical properties of the disc. , 2000, Spine.

[53]  E B Hunziker,et al.  Mechanical anisotropy of the human knee articular cartilage in compression , 2003, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[54]  A. Caraffa,et al.  In vivo anterior cruciate ligament strain behaviour during a rapid deceleration movement: case report , 2003, Knee Surgery, Sports Traumatology, Arthroscopy.

[55]  T L Haut,et al.  The state of tissue hydration determines the strain-rate-sensitive stiffness of human patellar tendon. , 1997, Journal of biomechanics.

[56]  M. Kapitonova,et al.  Ultrastructural changes of the articular cartilage in some arthropathies with special reference to chondrocyte cell death. , 2003, The Malaysian journal of pathology.

[57]  S. Kawai,et al.  Innervation of nociceptors in the menisci of the knee joint: an immunohistochemical study , 2000, Archives of Orthopaedic and Trauma Surgery.

[58]  G. Beaupré,et al.  Effects of Creep and Cyclic Loading on the Mechanical Properties and Failure of Human Achilles Tendons , 2003, Annals of Biomedical Engineering.

[59]  R W Mann,et al.  In vivo hip pressures during cane and load-carrying gait. , 1997, Arthritis care and research : the official journal of the Arthritis Health Professions Association.

[60]  L. Claes,et al.  Intradiscal pressure together with anthropometric data--a data set for the validation of models. , 2001, Clinical biomechanics.

[61]  Sharmila Majumdar,et al.  X-ray detection of structural orientation in human articular cartilage. , 2004, Osteoarthritis and cartilage.

[62]  J. Keating,et al.  The relative strengths of the rotator cuff muscles. A cadaver study. , 1993, The Journal of bone and joint surgery. British volume.

[63]  P J McMahon,et al.  The anterior band of the inferior glenohumeral ligament. Assessment of its permanent deformation and the anatomy of its glenoid attachment. , 1999, The Journal of bone and joint surgery. British volume.

[64]  R E Hughes,et al.  Prediction of muscle force involved in shoulder internal rotation. , 2000, Journal of shoulder and elbow surgery.

[65]  N. Ito,et al.  Strength of the glenoid labrum and adjacent shoulder capsule. , 1996, Journal of shoulder and elbow surgery.

[66]  David M Weinstein,et al.  Comparing two estimations of the quadriceps force distribution for use during patellofemoral simulation. , 2006, Journal of biomechanics.

[67]  E Y Chao,et al.  Internal forces and moments in the femur during walking. , 1997, Journal of biomechanics.

[68]  Ian Alexander Fisher A mathematical investigation of the influence of skeletal geometry on the mechanics of a prosthetic human hip joint. , 2000 .

[69]  J. T. Bryant,et al.  The material properties of the bovine acetabular labrum , 2001, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[70]  R. Putz,et al.  [Anatomy of the labro-capsular complex]. , 1998, Der Orthopade.

[71]  James R. Robinson,et al.  Structural properties of the medial collateral ligament complex of the human knee. , 2005, Journal of biomechanics.

[72]  D P Pioletti,et al.  Strain rate effect on the mechanical behavior of the anterior cruciate ligament-bone complex. , 1999, Medical engineering & physics.

[73]  M. Freeman,et al.  Tensile Properties of Articular Cartilage , 1968, Nature.

[74]  A. Amis,et al.  Meniscofemoral ligaments--structural and material properties. , 2002, Journal of biomechanics.

[75]  K. Merkel The surface of human menisci and its aging alterations during age , 1980, Archives of orthopaedic and traumatic surgery.

[76]  Wolf Petersen,et al.  Collagenous fibril texture of the human knee joint menisci , 1998, Anatomy and Embryology.

[77]  B. Reeves,et al.  Experiments on the tensile strength of the anterior capsular structures of the shoulder in man. , 1968, The Journal of bone and joint surgery. British volume.

[78]  F. Noyes,et al.  Biomechanical analysis of human ligament grafts used in knee-ligament repairs and reconstructions. , 1984, The Journal of bone and joint surgery. American volume.

[79]  C. Frank,et al.  Water content alters viscoelastic behaviour of the normal adolescent rabbit medial collateral ligament. , 1992, Journal of biomechanics.

[80]  E S Grood,et al.  Theoretical analysis of an implantable force transducer for tendon and ligament structures. , 1992, Journal of biomechanical engineering.

[81]  Antonius Rohlmann,et al.  First in vivo measurements of contact forces in the shoulder joint , 2006 .

[82]  Ray Vanderby,et al.  Subfailure damage in ligament: a structural and cellular evaluation. , 2002, Journal of applied physiology.

[83]  C. Vangsness,et al.  Neural anatomy of the glenohumeral ligaments, labrum, and subacromial bursa. , 1995, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.