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Basic Biomechanics of the Skeleton

  • W. C. Hayes

Abstract

Bone is unique among structural materials in that it is self-repairing and can alter its properties and configuration in response to changes in mechanical demand (Hayes, 1979; Hayes and Snyder, 1981; Jowsey, 1977; Lane and Vigorita, 1983; Woo et al, 1981). Certain skeletal conditions such as osteoporosis can seriously compromise the structural integrity of the skeleton (Avioli, 1983; Jowsey, 1977). The associated reduction in bone mass gradually increases vulnerability to fracture, particularly of the femoral neck and vertebrae (Jowsey, 1977; Kelsey et al, 1978; Lane and Vigorita, 1983). The frequency of osteoporosis in the United States is well recognized, with 50% of women 45 years of age or older exhibiting radiographic evidence of osteoporosis of the lumbar spine (Kelsey et al, 1978). From 16–18 million women in the United States have a significant degree of vertebral atrophy and over 4 million women aged 50 years or older have osteoporosis severe enough to cause vertebral fractures. Epidemiologic studies suggest that from 15-30% of all white women in the United States develop symptomatic osteoporosis (Kelsey et al, 1978; Lane and Vigorita, 1983). Of approximately one million fractures experienced each year by women 45 years or older in the United States, about 700,000 are incurred by women with osteoporosis.

Keywords

Compressive Strength Bone Tissue Cortical Bone Trabecular Bone Ultimate Tensile Strength 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Avioli, L.V.: The Osteoporotic Syndrome: Detection, Prevention, and Treatment. Grune and Stratton, New York, 1983.Google Scholar
  2. 2.
    Bradley, J.G., Huang, H.K., and Ledley, R.S.: Evaluation of calcium in bones from CT scans. Radiology 128, 103, 1978.PubMedGoogle Scholar
  3. 3.
    Burstein, A.H., Currey, J.D., Frankel, V.H., and Reilly, D.T.: The ultimate properties of bone tissue: the effects of yielding. J. Biomech. 5, 35, 1972a ).PubMedCrossRefGoogle Scholar
  4. 4.
    Burstein, A.H., Currey, J., Frankel, V.H., Heiple, K.G., Linseth, P., Vessely, J.C.: Bone strength: the effect of screw holes. J. Bone Joint Surg. 54A, 1143, 1972b.PubMedGoogle Scholar
  5. 5.
    Burstein, A.H., Zika, J.M., Heiple, K.G., and Klein, L.: Contribution of collagen and mineral to the elastic-plastic properties of bone. J. Bone Joint Surg. 57, 956, 1975.PubMedGoogle Scholar
  6. 6.
    Burstein, A.H., Reilly, D.T., and Martens, M.: Aging of bone tissue: mechanical properties. J. Bone Joint Surg. 58A, 82, 1976.PubMedGoogle Scholar
  7. 7.
    Carter, D.R. and Hayes, W.C.: Bone compressive strength: the influence of density and strain rate. Science 194, 1174, 1976.PubMedCrossRefGoogle Scholar
  8. 8.
    Carter, D.R. and Hayes, W.C.: The compressive behavior of bone as a two-phase porous material. J. Bone Joint Surg. 49A, 954, 1977.Google Scholar
  9. 9.
    Carter, D.R. and Spengler, D.M.: Mechanical properties and composition of cortical bone. Clin. Orthop. 135, 192, 1978.PubMedGoogle Scholar
  10. 10.
    Carter, D.R., Schwab, G.H., and Spengler, D.M.: Tensile fracture of cancellous bone. Acta Orthop. Scand. 51, 733, 1980.PubMedCrossRefGoogle Scholar
  11. 11.
    Cohn, S.H.: Non-Invasive Measurements of Bone Mass and Their Clinical Application. CRC Press, Boca Raton, FL, 1981.Google Scholar
  12. 12.
    Colbert, C. and Bachteil, R.S.: Radiographic absorptiometry (photodensitometry). In, Non-Invasive Measurements of Bone Mass and Their Clinical Application. Ed: Cohn, S.H., CRC Press, Boca Raton, FL, 1981, pp 51–84.Google Scholar
  13. 13.
    Dequeker, J. and Johnston, C.C., Jr.: In, Non-Invasive Measurements: Histological Problems. Radiogrammetry, Single and Dual Photon Absorptiometry, Neutron Activation and C.T. Densitometry. IRL Press, Washington, D.C., 1982.Google Scholar
  14. 14.
    Evans, F.G.: Stress and Strain in Bones. Chas.C. Thomas, Co., Springfield, IL, 1957.Google Scholar
  15. 15.
    Evans, F.G.: Mechanical Properties of Bone. Chas. C. Thomas Co., Springfield, IL., 1973.Google Scholar
  16. 16.
    Genant, H.K. and Boyd, D.: Quantitative bone mineral analysis using dual energy computed tomography. Invest. Radiol. 12, 545, 1977.PubMedCrossRefGoogle Scholar
  17. 17.
    Genant, H.K., Boyd, D., Rosenfeld, D., Abols, Y., and Cann, C.E.: Computed tomography. In, Non-Invasive Measurements of Bone Mass and Their Clinical Application. Ed: Cohn, S.H., CRC Press, Boca Raton, FL., 1981. pp 121–149.Google Scholar
  18. 18.
    Hayes, W.C.: Biomechanical measurements of bone. In, CRC Handbook of Engineering in Medicine and Biology: Section B. Instruments and Measurements. Vol. 1. Eds: Burstein, A., Bahniuk, E., CRC Press, Cleveland, OH, 1978. pp 333–372.Google Scholar
  19. 19.
    Hayes, W.C.: Biomechanics of fracture treatment. In, Fracture Healing and Treatment. Ed: Heppenstall, R.B., W.B. Saunders, Philadelphia, 1979. pp 124–172.Google Scholar
  20. 20.
    Hayes, W.C. and Carter, D.R.: Biomechanics of bone. In, Skeletal Research: An Experimental Approach. Eds: Simmons, D.J., Kunin, A.S., Academic Press, New York, 1979. pp 263–300.Google Scholar
  21. 21.
    Hayes, W.C. and Snyder, B.D.: Toward a quantitative formulation of Wolff’s Law in trabecular bone. In, Symposium on the Mechanical Properties of Bone. Am. Soc. Mech. Engineers, Boulder, CO, 1981, pp 43–68.Google Scholar
  22. 22.
    Jowsey, J.: In, Metabolic Diseases of Bone. W.B. Saunders Co., Philadelphia, 1977.Google Scholar
  23. 23.
    Kelsey, J.L., Harris, P., and Gerald, B.E., Jr.: Musculoskeletal Disorders: Their Frequency of Occurrence and Their Impact on the Population of the United States. Prodist, New York, 1978.Google Scholar
  24. 24.
    Lane, J.M. and Vigorita, V.J.: Osteoporosis: Current concepts review. J. Bone Joint Surg. 65A, 274, 1983PubMedGoogle Scholar
  25. 25.
    Mazess, R.B.: Noninvasive methods for quantitating trabecular bone. In, The Osteoporotic Syndrome: Detection Prevention and Treatment. Ed: Avioli, L.V., Grune & Stratton, New York, 1983a, pp 85–114.Google Scholar
  26. 26.
    Mazess, R.B.: The non-invasive measurement of skeletal mass. In, Bone and Mineral Research, Annual II. Excerpta Medica, 1983b, pp 223–279.Google Scholar
  27. 27.
    Mazess, R.B., Peppier, W.W., Chesnut, C.H., III, Nelp, W.B., Cohn, S.H., and Zanzi, I.: Total body bone mineral and lean body mass by dual-photon absorptiometry. II. Comparison with total body calcium by neutron activation analysis. Calcif. Tiss. Int. 33, 361, 1981a.CrossRefGoogle Scholar
  28. 28.
    Mazess, R.B., Peppier, W.W., Harrison, J.E., and McNeill, K.G.: Total body bone mineral and lean body mass by dual-photon absorptiometry. III. Comparison with trunk calcium by neutron activation analysis. Calcif. Tiss. Int. 365, 1981b.Google Scholar
  29. 29.
    Meema, H.E. and Meema, S.: Radiogrammetry. In, Non-Invasive Measurements of Bone Mass and Their Clinical Applications. Ed: Cohn, S.H., CRC Press, Boca Raton, FL, 1981. pp 5–50.Google Scholar
  30. 30.
    Nagurka, M.L. and Hayes, W.C.: Technical note: An interactive graphics package for calculating cross-sectional properties of complex shapes. J.Biomech. 13, 59, 1980.PubMedCrossRefGoogle Scholar
  31. 31.
    Peppier, W.W. and Mazess, R.B.: Total body bone mineral and lean body mass by dual-photon absorptiometry. I. Theory and measurement procedure. Calcif. Tiss. Int. 33, 353, 1981.CrossRefGoogle Scholar
  32. 32.
    Posner, I. and Griffiths, H.J.: Comparison of CT Scanning with Photon Absorptiometric Measurements of Bone Mineral Content in the Appendicular Skeleton. Invest. Radiol. 12, 542, 1977.PubMedCrossRefGoogle Scholar
  33. 33.
    Reich, N.E., Seidelmann, F.E., and Tubbs, R.R.: Determination of bone mineral content using CT scanning. Am. J. Roentgenol. 127, 595, 1976.Google Scholar
  34. 34.
    Reilly, D.T. and Burstein, A.H.: The mechanical properties of cortical bone. J. Bone Joint Surg. 56A, 1001, 1974.PubMedGoogle Scholar
  35. 35.
    Reilly, D.T., Burstein, A.H., and Frankel, V.H.: The elastic modulus for bone. J. Biomech. 7, 271, 1974.PubMedCrossRefGoogle Scholar
  36. 36.
    Ruegsegger, P., Dambacher, M.A., Ruegsegger, E., Fischer, J.A., and Anliker, M.: Bone loss in premenopausal and postmenopausal women. J. Bone Joint Surg. 66A, 1015, 1984.PubMedGoogle Scholar
  37. 37.
    Ruegsegger, R., Elsasser, V., and Anliker, M.: Quantification of bone mineralization using computed tomography. Radiology 121, 93, 1976.PubMedGoogle Scholar
  38. 38.
    Ruff, C.B. and Hayes, W.C.: Subperiosteal expansion and cortical remodeling of the human femur and tibia with aging. Science 217, 945, 1982.PubMedCrossRefGoogle Scholar
  39. 39.
    Ruff, C.B. and Hayes, W.C.: Cross-sectional geometry of Pecos Pueblo femora and tibiae: A biomechanical investigation. I. Method and general patterns of variation. Am. J. Phys. Anthrop. 60, 359, 1983a.PubMedCrossRefGoogle Scholar
  40. 40.
    Ruff, C.B. and Hayes, W.C.: Cross-sectional geometry of Pecos Pueblo femora and tibiae: A biomechanical investigation. II. Sex, age and size differences. Am. J. Phys. Anthrop. 60, 383, 1983b.PubMedCrossRefGoogle Scholar
  41. 41.
    Singh, M., Riggs, L., Beabout, J.W., and Jowsey, J.: Femoral trabecular pattern index for evaluation of spinal osteoporosis. Ann. Intern. Med. 77, 63, 1972.PubMedGoogle Scholar
  42. 42.
    Woo, S.L.Y., Kuei, S.C., Amiel, D., Hayes, W.C., White, F.C., and Akeson, W.H.: The effect of prolonged physical training on the properties of long bone. J. Bone Joint Surg. 63A, 780, 1981.PubMedGoogle Scholar
  43. 43.
    Wright, T.M.: Mechanics of fracture and fracture propagation. In, Scientific Foundations of Orthopaedics. Eds: Goodfellow, O., Bullough, P., William Heinemann Medical Books, Ltd., London, 1980. pp 252–258.Google Scholar
  44. 44.
    Wright, T.M. and Hayes, W.C.: Tensile testing of bone over a wide range of strain rates: Effects of strain rate, microstructure and density. Med. Biol. Eng. 14, 671, 1976.PubMedCrossRefGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 1986

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  • W. C. Hayes

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