Biomedical subjects

Jeffrey A Weiss

Publications and source records attributed to Jeffrey A Weiss.

At least 19 recordsLinked to original sources

PubMed2006

Spatial distribution and orientation of dermatan sulfate in human medial collateral ligament.

The proteoglycan decorin and its associated glycosaminoglycan (GAG), dermatan sulfate (DS), regulate collagen fibril formation, control fibril diameter, and have been suggested to contribute to the mechanical stability and material properties of connective tissues. The spatial distribution and orientation of DS within the tissue are relevant to these mechanical roles, but measurements of length and orientation from 2D transmission electron microscopy (TEM) are prone to errors from projection. The objectives of this study were to construct a 3D geometric model of DS GAGs and collagen fibrils, and to use the model to interpret TEM measurements of the spatial orientation and length of DS GAGs in the medial collateral ligament of the human knee. DS was distinguished from other sulfated GAGs by treating tissue with chondroitinase B, an enzyme that selectively degrades DS. An image processing pipeline was developed to analyze the TEM micrographs. The 3D model of collagen and GAGs quantified the projection error in the 2D TEM measurements. Model predictions of 3D GAG orientation were highly sensitive to the assumed GAG length distribution, with the baseline input distribution of 69+/-23 nm providing the best predictions of the angle measurements from TEM micrographs. The corresponding orientation distribution for DS GAGs was maximal at orientations orthogonal to the collagen fibrils, tapering to near zero with axial alignment. Sulfated GAGs that remained after chondroitinase B treatment were preferentially aligned along the collagen fibril. DS therefore appears more likely to bridge the interfibrillar gap than non-DS GAGs. In addition to providing quantitative data for DS GAG length and orientation in the human MCL, this study demonstrates how a 3D geometric model can be used to provide a priori information for interpretation of geometric measurements from 2D micrographs.

Chondroitinases and Chondroitin Lyases↗

PubMed2006

Methodology and sensitivity studies for finite element modeling of the inferior glenohumeral ligament complex.

The objectives of this research were to develop a methodology for three-dimensional finite element (FE) modeling of the inferior glenohumeral ligament complex (IGHL complex) as a continuous structure, to determine optimal mesh density for FE simulations, to examine strains and forces in the IGHL complex in clinically relevant joint positions, and to perform sensitivity studies to assess the effects of assumed material properties. A simple translation test in the anterior direction was performed on a cadaveric shoulder, with the humerus oriented at 60 degrees of glenohumeral abduction and 0 degrees of flexion/extension, at 0 degrees , 30 degrees and 60 degrees of humeral external rotation. The geometries of the relevant structures were extracted from volumetric CT data to create a FE model. Experimentally measured kinematics were applied to the FE model to simulate the simple translation test. First principal strains, insertion site forces and contact forces were analyzed. At maximum anterior humeral translation, strains in the IGHL complex were highly inhomogeneous for all external rotation angles. The motion of the humerus with respect to the glenoid during the simple translation test produced a tangential load at the proximal and distal edges of the IGHL complex. This loading was primarily in the plane of the inferior glenohumeral ligament complex, producing an in-plane shear-loading pattern. There was a significant increase in strain with increasing angle of external rotation. The largest insertion site forces occurred at the axillary pouch insertion to the humerus (36.7N at 60 degrees of external rotation) and the highest contact forces were between the anterior band of the IGHL complex and the humeral cartilage (7.3N at 60 degrees of external rotation). Strain predictions were highly sensitive to changes in the ratio of bulk to shear modulus of the IGHL complex, while predictions were moderately sensitive to changes in elastic modulus of the IGHL complex. Changes to the material properties of the humeral cartilage had little effect on predicted strains. The methodologies developed in this research and the results of the mesh convergence and sensitivity studies provide a basis for the subject-specific modeling of the mechanics of the IGHL complex.

Biomechanical Phenomena↗

PubMed2006

Medial collateral ligament insertion site and contact forces in the ACL-deficient knee.

The objectives of this research were to determine the effects of anterior cruciate ligament (ACL) deficiency on medial collateral ligament (MCL) insertion site and contact forces during anterior tibial loading and valgus loading using a combined experimental-finite element (FE) approach. Our hypothesis was that ACL deficiency would increase MCL insertion site forces at the attachments to the tibia and femur and increase contact forces between the MCL and these bones. Six male knees were subjected to varus-valgus and anterior-posterior loading at flexion angles of 0 degrees and 30 degrees. Three-dimensional joint kinematics and MCL strains were recorded during kinematic testing. Following testing, the MCL of each knee was removed to establish a stress-free reference configuration. An FE model of the femur-MCL-tibia complex was constructed for each knee to simulate valgus rotation and anterior translation at 0 degrees and 30 degrees, using subject-specific bone and ligament geometry and joint kinematics. A transversely isotropic hyperelastic material model with average material coefficients taken from a previous study was used to represent the MCL. Subject-specific MCL in situ strain distributions were used in each model. Insertion site and contact forces were determined from the FE analyses. FE predictions were validated by comparing MCL fiber strains to experimental measurements. The subject-specific FE predictions of MCL fiber stretch correlated well with the experimentally measured values (R2 = 0.95). ACL deficiency caused a significant increase in MCL insertion site and contact forces in response to anterior tibial loading. In contrast, ACL deficiency did not significantly increase MCL insertion site and contact forces in response to valgus loading, demonstrating that the ACL is not a restraint to valgus rotation in knees that have an intact MCL. When evaluating valgus laxity in the ACL-deficient knee, increased valgus laxity indicates a compromised MCL.

Aged↗

PubMed2006

Normal and pathological NCAT image and phantom data based on physiologically realistic left ventricle finite-element models.

The four-dimensional (4-D) NURBS-based cardiac-torso (NCAT) phantom, which provides a realistic model of the normal human anatomy and cardiac and respiratory motions, is used in medical imaging research to evaluate and improve imaging devices and techniques, especially dynamic cardiac applications. One limitation of the phantom is that it lacks the ability to accurately simulate altered functions of the heart that result from cardiac pathologies such as coronary artery disease (CAD). The goal of this work was to enhance the 4-D NCAT phantom by incorporating a physiologically based, finite-element (FE) mechanical model of the left ventricle (LV) to simulate both normal and abnormal cardiac motions. The geometry of the FE mechanical model was based on gated high-resolution X-ray multislice computed tomography (MSCT) data of a healthy male subject. The myocardial wall was represented as a transversely isotropic hyperelastic material, with the fiber angle varying from -90 degrees at the epicardial surface, through 0 degrees at the midwall, to 90 degrees at the endocardial surface. A time-varying elastance model was used to simulate fiber contraction, and physiological intraventricular systolic pressure-time curves were applied to simulate the cardiac motion over the entire cardiac cycle. To demonstrate the ability of the FE mechanical model to accurately simulate the normal cardiac motion as well as the abnormal motions indicative of CAD, a normal case and two pathologic cases were simulated and analyzed. In the first pathologic model, a subendocardial anterior ischemic region was defined. A second model was created with a transmural ischemic region defined in the same location. The FE-based deformations were incorporated into the 4-D NCAT cardiac model through the control points that define the cardiac structures in the phantom which were set to move according to the predictions of the mechanical model. A simulation study was performed using the FE-NCAT combination to investigate how the differences in contractile function between the subendocardial and transmural infarcts manifest themselves in myocardial Single photon emission computed tomography (SPECT) images. The normal FE model produced strain distributions that were consistent with those reported in the literature and a motion consistent with that defined in the normal 4-D NCAT beating heart model based on tagged magnetic resonance imaging (MRI) data. The addition of a subendocardial ischemic region changed the average transmural circumferential strain from a contractile value of -0.09 to a tensile value of 0.02. The addition of a transmural ischemic region changed average circumferential strain to a value of 0.13, which is consistent with data reported in the literature. Model results demonstrated differences in contractile function between subendocardial and transmural infarcts and how these differences in function are documented in simulated myocardial SPECT images produced using the 4-D NCAT phantom. Compared with the original NCAT beating heart model, the FE mechanical model produced a more accurate simulation for the cardiac motion abnormalities. Such a model, when incorporated into the 4-D NCAT phantom, has great potential for use in cardiac imaging research. With its enhanced physiologically based cardiac model, the 4-D NCAT phantom can be used to simulate realistic, predictive imaging data of a patient population with varying whole-body anatomy and with varying healthy and diseased states of the heart that will provide a known truth from which to evaluate and improve existing and emerging 4-D imaging techniques used in the diagnosis of cardiac disease.

Algorithms↗

PubMed2006

Simulation of soft tissue failure using the material point method.

Understanding the factors that control the extent of tissue damage as a result of material failure in soft tissues may provide means to improve diagnosis and treatment of soft tissue injuries. The objective of this research was to develop and test a computational framework for the study of the failure of anisotropic soft tissues subjected to finite deformation. An anisotropic constitutive model incorporating strain-based failure criteria was implemented in an existing computational solid mechanics software based on the material point method (MPM), a quasi-meshless particle method for simulations in computational mechanics. The constitutive model and the strain-based failure formulations were tested using simulations of simple shear and tensile mechanical tests. The model was then applied to investigate a scenario of a penetrating injury: a low-speed projectile was released through a myocardial material slab. Sensitivity studies were performed to establish the necessary grid resolution and time-step size. Results of the simple shear and tensile test simulations demonstrated the correct implementation of the constitutive model and the influence of both fiber family and matrix failure on predictions of overall tissue failure. The slab penetration simulations produced physically realistic wound tracts, exhibiting diameter increase from entrance to exit. Simulations examining the effect of bullet initial velocity showed that the anisotropy influenced the shape and size of the exit wound more at lower velocities. Furthermore, the size and taper of the wound cavity was smaller for the higher bullet velocity. It was concluded that these effects were due to the amount of momentum transfer. The results demonstrate the feasibility of using MPM and the associated failure model for large-scale numerical simulations of soft tissue failure.

Animals↗

PubMed2006

Ballistic injury simulation using the material point method.

The Material Point Method is used in the computational simulation of ballistic projectile damage to the heart. A transversely isotropic hyperelastic material model is used to model the myocardium. Computed estimates of tissue damage are used to characterize damaged tissue. The method's potential to estimate the damaged tissue in the complete torso is considered.

Computer Simulation↗

PubMed2005

Computational modeling of multicellular constructs with the material point method.

Computational modeling of the mechanics of cells and multicellular constructs with standard numerical discretization techniques such as the finite element (FE) method is complicated by the complex geometry, material properties and boundary conditions that are associated with such systems. The objectives of this research were to apply the material point method (MPM), a meshless method, to the modeling of vascularized constructs by adapting the algorithm to accurately handle quasi-static, large deformation mechanics, and to apply the modified MPM algorithm to large-scale simulations using a discretization that was obtained directly from volumetric confocal image data. The standard implicit time integration algorithm for MPM was modified to allow the background computational grid to remain fixed with respect to the spatial distribution of material points during the analysis. This algorithm was used to simulate the 3D mechanics of a vascularized scaffold under tension, consisting of growing microvascular fragments embedded in a collagen gel, by discretizing the construct with over 13.6 million material points. Baseline 3D simulations demonstrated that the modified MPM algorithm was both more accurate and more robust than the standard MPM algorithm. Scaling studies demonstrated the ability of the parallel code to scale to 200 processors. Optimal discretization was established for the simulations of the mechanics of vascularized scaffolds by examining stress distributions and reaction forces. Sensitivity studies demonstrated that the reaction force during simulated extension was highly sensitive to the modulus of the microvessels, despite the fact that they comprised only 10.4% of the volume of the total sample. In contrast, the reaction force was relatively insensitive to the effective Poisson's ratio of the entire sample. These results suggest that the MPM simulations could form the basis for estimating the modulus of the embedded microvessels through a parameter estimation scheme. Because of the generality and robustness of the modified MPM algorithm, the relative ease of generating spatial discretizations from volumetric image data, and the ability of the parallel computational implementation to scale to large processor counts, it is anticipated that this modeling approach may be extended to many other applications, including the analysis of other multicellular constructs and investigations of cell mechanics.

Algorithms↗

PubMed2005

Three-dimensional finite element modeling of ligaments: technical aspects.

The objective of this paper is to describe strategies for addressing technical aspects of the computational modeling of ligaments with the finite element (FE) method. Strategies for FE modeling of ligament mechanics are described, differentiating between whole-joint models and models of individual ligaments. Common approaches to obtain three-dimensional ligament geometry are reviewed, with an emphasis on techniques that rely on volumetric medical image data. Considerations for the three-dimensional constitutive modeling of ligaments are reviewed in the context of ligament composition and structure. A novel approach to apply in situ strain to FE models of ligaments is described, and test problems are presented that demonstrate the efficacy of the approach. Approaches for the verification and validation of ligament FE models are outlined. The paper concludes with a discussion of future research directions.

Algorithms↗

PubMed2005

Permeability of human medial collateral ligament in compression transverse to the collagen fiber direction.

This study quantified the apparent and intrinsic hydraulic permeability of human medial collateral ligament (MCL) under direct permeation transverse to the collagen fiber direction. A custom permeation device was built to apply flow across cylindrical samples of ligament while monitoring the resulting pressure gradient. MCLs from 5 unpaired human knees were used (donor age 55 +/- 16 yr, 4 males, 1 female). Permeability measurements were performed at 3 levels of compressive pre-strain (10%, 20% and 30%) and 5 pressures (0.17, 0.34, 1.03, 1.72 and 2.76 MPa). Apparent permeability was determined from Darcy's law, while intrinsic permeability was determined from the zero-pressure crossing of the pressure-permeability curves at each compressive pre-strain. Resulting data were fit to a finite deformation constitutive law [Journal of Biomechanics 23 (1990) 1145-1156]. The apparent permeability of human MCL ranged from 0.40 +/- 0.05 to 8.60 +/- 0.77 x 10(-16) m(4)/Ns depending on pre-strain and pressure gradient. There was a significant decrease in apparent permeability with increasing compressive pre-strain (p=0.024) and pressure gradient (p<0.001), and there was a significant interaction between the effects of compressive pre-strain and pressure (p<0.001). Intrinsic permeability was 14.14 +/- 0.74, 6.30 +/- 2.13 and 4.29 +/- 1.71 x 10(-16) m(4)/Ns for compressive pre-strains of 10%, 20% and 30%, respectively. The intrinsic permeability showed a faster decrease with increasing compressive pre-strain than that of bovine articular cartilage. These data provide a baseline for investigating the effects of disease and chemical modification on the permeability of ligament and the data should also be useful for modeling the poroelastic material behavior of ligaments.

Anisotropy↗

PubMed2005

Viscoelastic properties of the human medial collateral ligament under longitudinal, transverse and shear loading.

Ligament viscoelasticity controls viscous dissipation of energy and thus the potential for injury or catastrophic failure. Viscoelasticity under different loading conditions is likely related to the organization and anisotropy of the tissue. The objective of this study was to quantify the strain- and frequency-dependent viscoelastic behavior of the human medial collateral ligament (MCL) in tension along its longitudinal and transverse directions, and under shear along the fiber direction. The overall hypothesis was that human MCL would exhibit direction-dependent viscoelastic behavior, reflecting the composite structural organization of the tissue. Incremental stress relaxation testing was performed, followed by the application of small sinusoidal strain oscillations at three different equilibrium strain levels. The peak and equilibrium stress-strain curves for the longitudinal, transverse and shear tests demonstrate that the instantaneous and long-time stress-strain response of the tissue differs significantly between loading conditions of along-fiber stretch, cross-fiber stretch and along-fiber shear. The reduced relaxation curves demonstrated at least two relaxation times for all three test modes. Relaxation resulted in stresses that were 60-80% of the initial stress after 1000 s. Incremental stress relaxation proceeded faster at the lowest strain level for all three test configurations. Dynamic stiffness varied greatly with test mode and equilibrium strain level, and showed a modest but significant increase with frequency of applied strain oscillations for longitudinal and shear tests. Phase angle was unaffected by strain level (with exception of lowest strain level for longitudinal samples) but showed a significant increase with increasing strain oscillation frequency. There was no effect of test type on the phase angle. The increase in phase and thus energy dissipation at higher frequencies may protect the tissue from injury at faster loading rates. Results suggest that the long-time relaxation behavior and the short-time dynamic energy dissipation of ligament may be governed by different viscoelastic mechanisms, yet these mechanisms may affect tissue viscoelasticity similarly under different loading configurations.

Adult↗

PubMed2005

Simultaneous measurement of three-dimensional joint kinematics and ligament strains with optical methods.

The objective of this study was to assess the precision and accuracy of a nonproprietary, optical three-dimensional (3D) motion analysis system for the simultaneous measurement of soft tissue strains and joint kinematics. The system consisted of two high-resolution digital cameras and software for calculating the 3D coordinates of contrast markers. System precision was assessed by examining the variation in the coordinates of static markers over time. Three-dimensional strain measurement accuracy was assessed by moving contrast markers fixed distances in the field of view and calculating the error in predicted strain. Three-dimensional accuracy for kinematic measurements was assessed by simulating the measurements that are required for recording knee kinematics. The field of view (190 mm) was chosen to allow simultaneous recording of markers for soft tissue strain measurement and knee joint kinematics. Average system precision was between +/-0.004 mm and +/-0.035 mm, depending on marker size and camera angle. Absolute error in strain measurement varied from a minimum of +/-0.025% to a maximum of +/-0.142%, depending on the angle between cameras and the direction of strain with respect to the camera axes. Kinematic accuracy for translations was between +/-0.008 mm and +/-0.034 mm, while rotational accuracy was +/-0.082 deg to +/-0.160 deg. These results demonstrate that simultaneous optical measurement of 3D soft tissue strain and 3D joint kinematics can be performed while achieving excellent accuracy for both sets of measurements.

Elasticity↗

PubMed2005

Subject-specific finite element model of the pelvis: development, validation and sensitivity studies.

A better understanding of the three-dimensional mechanics of the pelvis, at the patient-specific level, may lead to improved treatment modalities. Although finite element (FE) models of the pelvis have been developed, validation by direct comparison with subject-specific strains has not been performed, and previous models used simplifying assumptions regarding geometry and material properties. The objectives of this study were to develop and validate a realistic FE model of the pelvis using subject-specific estimates of bone geometry, location-dependent cortical thickness and trabecular bone elastic modulus, and to assess the sensitivity of FE strain predictions to assumptions regarding cortical bone thickness as well as bone and cartilage material properties. A FE model of a cadaveric pelvis was created using subject-specific computed tomography image data. Acetabular loading was applied to the same pelvis using a prosthetic femoral stem in a fashion that could be easily duplicated in the computational model. Cortical bone strains were monitored with rosette strain gauges in ten locations on the left hemipelvis. FE strain predictions were compared directly with experimental results for validation. Overall, baseline FE predictions were strongly correlated with experimental results (r2=0.824), with a best-fit line that was not statistically different than the line y=x (experimental strains = FE predicted strains). Changes to cortical bone thickness and elastic modulus had the largest effect on cortical bone strains. The FE model was less sensitive to changes in all other parameters. The methods developed and validated in this study will be useful for creating and analyzing patient-specific FE models to better understand the biomechanics of the pelvis.

Aged↗

PubMed2005

Measurement of strain in the left ventricle during diastole with cine-MRI and deformable image registration.

The assessment of regional heart wall motion (local strain) can localize ischemic myocardial disease, evaluate myocardial viability, and identify impaired cardiac function due to hypertrophic or dilated cardiomyopathies. The objectives of this research were to develop and validate a technique known as hyperelastic warping for the measurement of local strains in the left ventricle from clinical cine-magnetic resonance imaging (MRI) image datasets. The technique uses differences in image intensities between template (reference) and target (loaded) image datasets to generate a body force that deforms a finite element (FE) representation of the template so that it registers with the target image. To validate the technique, MRI image datasets representing two deformation states of a left ventricle were created such that the deformation map between the states represented in the images was known. A beginning diastolic cine-MRI image dataset from a normal human subject was defined as the template. A second image dataset (target) was created by mapping the template image using the deformation results obtained from a forward FE model of diastolic filling. Fiber stretch and strain predictions from hyperelastic warping showed good agreement with those of the forward solution (R2=0.67 stretch, R2=0.76 circumferential strain, R2=0.75 radial strain, and R2=0.70 in-plane shear). The technique had low sensitivity to changes in material parameters (deltaR2= -0.023 fiber stretch, deltaR2=-0.020 circumferential strain, deltaR2=-0.005 radial strain, and deltaR2=0.0125 shear strain with little or no change in rms error), with the exception of changes in bulk modulus of the material. The use of an isotropic hyperelastic constitutive model in the warping analyses degraded the predictions of fiber stretch. Results were unaffected by simulated noise down to a signal-to-noise ratio (SNR) of 4.0 (deltaR2= -0.032 fiber stretch, deltaR2=-0.023 circumferential strain, deltaR2=-0.04 radial strain, and deltaAR2=0.0211 shear strain with little or no increase in rms error). This study demonstrates that warping in conjunction with cine-MRI imaging can be used to determine local ventricular strains during diastole.

Diastole↗

PubMed2005

The role of mechanical stresses in angiogenesis.

Angiogenesis is the formation of new capillary blood vessels from preexisting vessels. It is involved in many normal and diseased conditions, as well as in the application of tissue-engineered products. There has been extensive effort made to develop strategies for controlling pathological angiogenesis and for promoting vascularization in biomedical engineering applications. Central to advancing these strategies is a mechanistic understanding of the angiogenic process. Angiogenesis is tightly regulated by local tissue environmental factors, including soluble molecules, extracellular matrices, cell-cell interactions, and diverse mechanical forces. Great advances have been made in identifying the biochemical factors and intracellular signaling pathways that mediate the control of angiogenesis. This review focuses on work that explores the biophysical aspect of angiogenesis regulation. Specifically, we discuss the role of cell-generated forces, counterforces from the extracellular matrix, and mechanical forces associated with blood flow and extravascular tissue activity in the regulation of angiogenesis. Because angiogenesis occurs in a mechanically dynamic environment, future investigations should aim at understanding how cells integrate chemical and mechanical signals so that a rational approach to controlling angiogenesis will become possible. In this regard, computational models that incorporate multiple epigenetic factors to predict capillary patterning will be useful.

Animals↗

PubMed2004

Bi-directional mechanical properties of the human forearm interosseous ligament.

Interest in reconstruction of the interosseous ligament (IOL) of the forearm in the setting of longitudinal radio-ulnar dissociation has increased in recent years with hopes of improving clinical outcomes. This increased interest has been accompanied by research on biomechanics of the IOL. However, little is known about stress and strain in the IOL under externally applied forearm loads. This information is needed to help guide reconstruction. Mechanical properties of the IOL are needed to properly model the IOL for analyses such as finite element models. The objective of this study was to document the bi-directional mechanical properties along the fiber direction (longitudinal) and perpendicular to the fiber direction (transverse). Twenty specimens were mounted in a materials testing machine to perform preconditioning and a load to failure tensile test in each direction. Strain markers on the surface of the specimens were tracked with a video system. Data analysis provided stress-strain curves for each specimen. The elastic moduli of longitudinal and transverse specimens were 515+/-277 and 1.82+/-2.93 MPa, respectively. The tensile strength and ultimate strain of longitudinal and transverse specimens were 54.1+/-25.2 and 0.18+/-0.20 and 16+/-5% and 34+/-32%, respectively. The bi-directional mechanical properties of the IOL compared well with those published for the medial collateral ligament of the knee. The mechanical properties in the longitudinal direction were much greater than those in the transverse direction, which is indicative of the IOL's role in resisting longitudinal loading. The results of this study can be used to generate mathematical models of stress and strain in the IOL.

Aged↗

PubMed2003

Subject-specific finite element analysis of the human medial collateral ligament during valgus knee loading.

The objectives of this study were (1) to develop subject-specific experimental and finite element (FE) techniques to study the three-dimensional stress-strain behavior of ligaments, with application to the human medial collateral ligament (MCL), and (2) to determine the importance of subject-specific material properties and initial (in situ) strain distribution for prediction of the strain distribution in the MCL under valgus loading. Eight male knees were subjected to varus-valgus loading at flexion angles of 0 degrees, 30 degrees, and 60 degrees. Three-dimensional joint kinematics and MCL strains were recorded during kinematic testing. Following testing, the MCL of each knee was removed to allow measurement of the in situ strain distribution and to perform material testing. A FE model of the femur-MCL-tibia complex was constructed for each knee to simulate valgus loading at each flexion angle, using subject-specific bone and ligament geometry, material properties, and joint kinematics. A transversely isotropic hyperelastic material model was used to represent the MCL. The MCL in situ strain distribution at full extension was used to apply in situ strain to each MCL FE model. FE predicted MCL strains during valgus loading were compared to experimental measurements using regression analysis. The subject-specific FE predictions of strain correlated reasonably well with experimentally measured MCL strains (R(2)=0.83, 0.72, and 0.66 at 0 degrees, 30 degrees, and 60 degrees, respectively). Despite large inter-subject variation in MCL material properties, MCL strain distributions predicted by individual FE models that used average MCL material properties were strongly correlated with subject-specific FE strain predictions (R(2)=0.99 at all flexion angles). However, predictions by FE models that used average in situ strain distributions yielded relatively poor correlations with subject-specific FE predictions (R(2)=0.44, 0.35, and 0.33 at flexion angles of 0 degrees, 30 degrees, and 60 degrees, respectively). The strain distribution within the MCL was nonuniform and changed with flexion angle. The highest MCL strains occurred at full extension in the posterior region of the MCL proximal to the joint line during valgus loading, suggesting this region may be most vulnerable to injury under these loading conditions. This work demonstrates that subject-specific FE models can predict the complex, nonuniform strain fields that occur in ligaments due to external loading of the joint.

Adult↗

PubMed2002

Ligament material behavior is nonlinear, viscoelastic and rate-independent under shear loading.

The material behavior of ligament is determined by its constituents, their organization and their interaction with each other. To elucidate the origins of the multiaxial material behavior of ligaments, we investigated ligament response to shear loading under both quasi-static and rate-dependent loading conditions. Stress relaxation tests demonstrated that the tissue was highly viscoelastic in shear, with peak loads dropping over 40% during 30 min of stress relaxation. The stress relaxation response was unaffected by three decades of change in shear strain rate (1.3, 13 and 130%/s). A novel parameter estimation technique was developed to determine material coefficients that best described the experimental response of each test specimen to shear. The experimentally measured clamp displacements and reaction forces from the simple shear tests were used with a nonlinear optimization strategy based around function evaluations from a finite element program. A transversely isotropic material with an exponential matrix strain energy provided an excellent fit to experimental load-displacement curves. The shear modulus of human MCL showed a significant increase with increasing shear strain (p<0.001), reaching a maximum of 1.72+/-0.4871 MPa. The results obtained from this study suggest that viscoelasticity in shear does not likely result from fluid flow. Gradual loading of transversely oriented microstructural features such as intermolecular collagen crosslinks or collagen-proteoglycan crosslinking may be responsible for the stiffening response under shear loading.

Adult↗

PubMed2002

Recruitment of tendon crimp with applied tensile strain.

The tensile stress-strain behavior of ligaments and tendons begins with a toe region that is believed to result from the straightening of crimped collagen fibrils. The in situ mechanical function is mostly confined to this toe region and changes in crimp morphology are believed to be associated with pathological conditions. A relatively new imaging technique, optical coherence tomography (OCT), provides a comparatively inexpensive method for nondestructive investigation of tissue ultrastructure with resolution on the order of 15 microm and the potential for use in a clinical setting. The objectives of this work were to assess the utility of OCT for visualizing crimp period, and to use OCT to determine how crimp period changed as a function of applied tensile strain in rat tail tendon fascicles. Fascicles from rat tail tendons were subjected to 0.5 percent strain increments up to 5 percent and imaged at each increment using OCT. A comparison between OCT images and optical microscopy images taken between crossed polarizing lenses showed a visual correspondence between features indicative of crimp pattern. Crimp pattern always disappeared completely before 3 percent axial strain was reached. Average crimp period increased as strain increased, but both elongation and shortening occurred within single crimp periods during the application of increasing strain to the fascicle.

Animals↗