Irish Journal of Medical Science (1971 -)

, Volume 184, Issue 1, pp 13–22

The paradox of Wolff’s theories

Review Article

DOI: 10.1007/s11845-014-1070-y

Cite this article as:
Hammer, A. Ir J Med Sci (2015) 184: 13. doi:10.1007/s11845-014-1070-y

Abstract

The upper femur has long held a fascination for both clinicians and bioengineers as it contains two trabecular columns obviously related to its function. In this respect two theories as to the formation of these columns have developed, both associated with Wolff: the Trajectorial Theory, which relates mainly to the passage of forces through the cancellous bone of the upper femur, and Wolff’s Law of bone formation, which describes the bone’s reaction to these forces and relates to bone in general. The two concepts nevertheless are often used synonymously. The Trajectorial Theory propounds that these cancellous structures in the femoral neck are due to both tension and compression forces, while modern day concepts of Wolff’s Law only acknowledge the action of compression forces: and herein lies the paradox. The Trajectorial Theory and Wolff’s Law, when applied to the upper femur, are mutually exclusive. The evidence, anatomical and physiological, indicates that bone forms within the femoral neck solely under the influence of compression forces. This would indicate that the Trajectorial Theory is not appropriate for this region. An alternative conceptual way of looking at this region is presented which eliminates this theory and resolves the paradox.

Keywords

Paradox Wolff’s law Trajectorial Theory Hip Femoral neck Forces Trabecular columns Anatomy Biomechanics 

Copyright information

© Royal Academy of Medicine in Ireland 2014

Authors and Affiliations

  1. 1.KentUK

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