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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 5/2013

01-05-2013 | Shoulder

Nonlinear stress analysis of the supraspinatus tendon using three-dimensional finite element analysis

Authors: Atsushi Inoue, Etsuo Chosa, Keisuke Goto, Naoya Tajima

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 5/2013

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Abstract

Purpose

No studies have used stress analysis with finite element analysis (FEA) to determine the causes of and mechanisms underlying rotator cuff tears. Therefore, we performed a biomechanical evaluation of the changes in stress distribution on the rotator cuff using three-dimensional (3-D) FEA.

Methods

The 3-D FEA model of shoulder joint allowed for abduction angles of 0°, 45° and 90° from the plane of the scapula and included the anatomical insertion points of the three major rotator cuff tendons and the middle fibres of the deltoid muscle. Stress distribution of the supraspinatus tendon on 3-D FEA was validated by a comparison with cadaveric and two-dimensional finite element model.

Results

The principal stress peaked in the region approximately 1 cm proximal to the insertion of the supraspinatus tendon. Furthermore, the stress on the joint side increased at the anterior edge of the supraspinatus tendon at abduction angles of 45° and 90°.

Conclusion

There are differences in stress changes between the joint side and bursal side of the supraspinatus tendon within the angles of abduction. The maximal tensile stress was observed on the articular side of the anterior edge of the supraspinatus tendon at 90° abduction. Our results indicate that the difference in tensile stress between the two layers results in delamination and causes partial-thickness tears.

Level of evidence

Decision analysis, Level II.
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Metadata
Title
Nonlinear stress analysis of the supraspinatus tendon using three-dimensional finite element analysis
Authors
Atsushi Inoue
Etsuo Chosa
Keisuke Goto
Naoya Tajima
Publication date
01-05-2013
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 5/2013
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-012-2008-4

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