The Collagen Fiber Kinematics in the Anteroinferior Glenohumeral Capsule Are Not Affine-Predicted

Author(s):  
Carrie A. Voycheck ◽  
Patrick J. McMahon ◽  
Richard E. Debski

Glenohumeral dislocation is a significant clinical problem and often results in injury to the anteroinferior (anterior band of the inferior glenohumeral ligament (AB-IGHL) and axillary pouch) glenohumeral capsule. [1] However, clinical exams to diagnose capsular injuries are not reliable [2] and poor patient outcome still exists following repair procedures. [3] Validated finite element models of the glenohumeral capsule may be able to improve diagnostic and repair techniques; however, improving the accuracy of these models requires adequate constitutive models to describe capsule behavior. The collagen fibers in the anteroinferior capsule are randomly oriented [4], thus the material behavior of the glenohumeral capsule has been described using isotropic models. [5,6] A structural model consisting of an isotropic matrix embedded with randomly aligned collagen fibers proved to better predict the complex capsule behavior than an isotropic phenomenological model [7] indicating that structural models may improve the accuracy of finite element models of the glenohumeral joint. Many structural models make the affine assumption (local fiber kinematics follow global tissue deformation) however an approach to account for non-affine fiber kinematics in structural models has been recently developed [8]. Evaluating the affine assumption for the capsule would aid in developing an adequate constitutive model. Therefore, the objective of this work was to assess the affine assumption of fiber kinematics in the anteroinferior glenohumeral capsule by comparing experimentally measured preferred fiber directions to the affine-predicted fiber directions.

Author(s):  
William J. Newman ◽  
Richard E. Debski ◽  
Susan M. Moore ◽  
Jeffrey A. Weiss

The shoulder is one of the most complex and often injured joints in the human body. The inferior glenohumeral ligament (IGHL), composed of the anterior band (AB), posterior band (PB) and the axillary pouch, has been shown to be an important contributor to anterior shoulder stability (Turkel, 1981). Injuries to the IGHL of the glenohumeral capsule are especially difficult to diagnose and treat effectively. The objective of this research was to develop a methodology for subject-specific finite element (FE) modeling of the ligamentous structures of the glenohumeral joint, specifically the IGHL, and to determine how changes in material properties affect predicted strains in the IGHL at 60° of external rotation. Using the techniques developed in this research, an improved understanding of the contribution of the IGHL to shoulder stability can be acquired.


2010 ◽  
Vol 108 (6) ◽  
pp. 1711-1718 ◽  
Author(s):  
Carrie A. Voycheck ◽  
Eric J. Rainis ◽  
Patrick J. McMahon ◽  
Jeffrey A. Weiss ◽  
Richard E. Debski

Surgical repair of the glenohumeral capsule after dislocation ignores regional boundaries of the capsule and is not sex specific. However, each region of the capsule functions to stabilize the joint in different positions, and differences in joint laxity between men and women have been found. The objectives of this research were to determine the effects of region (axillary pouch and posterior capsule) and sex on the material properties of the glenohumeral capsule. Boundary conditions derived from experiments were used to create finite-element models that applied tensile deformations to tissue samples from the capsule. The material coefficients of a hyperelastic constitutive model were determined via inverse finite-element optimization, which minimized the difference between the experimental and finite-element model-predicted load-elongation curve. These coefficients were then used to create stress-stretch curves representing the material properties of the capsule regions for each sex in response to uniaxial extension. For the axillary pouch, the C1(men: 0.28 ± 0.39 MPa and women: 0.23 ± 0.12 MPa) and C2(men: 8.2 ± 4.1 and women: 7.7 ± 3.0) material coefficients differed between men and women by only 0.05 MPa and 0.5, respectively. Similarly, the posterior capsule coefficients differed by 0.15 MPa (male: 0.49 ± 0.26 MPa and female: 0.34 ± 0.20 MPa) and 0.6 (male: 7.8 ± 2.9 and female: 7.2 ± 3.0), respectively. No differences could be detected in the material coefficients between regions or sexes. As a result, surgeons may not need to consider region- and sex-specific surgical repair techniques. Furthermore, finite-element models of the glenohumeral joint may not need region- or sex-specific material coefficients when using this constitutive model.


Author(s):  
Chengbi Zhao ◽  
Ming Ma ◽  
Owen Hughes

Panel based hydrodynamic analyses are well suited for transferring seakeeping loads to 3D FEM structural models. However, 3D panel based hydrodynamic analyses are computationally expensive. For monohull ships, methods based on strip theory have been successfully used in industry for many years. They are computationally efficient, and they provide good prediction for motions and hull girder loads. However, many strip theory methods provide only hull girder sectional forces and moments, such as vertical bending moment and vertical shear force, which are difficult to apply to 3D finite element structural models. For the few codes which do output panel pressure, transferring the pressure map from a hydrodynamic model to the corresponding 3D finite element model often results in an unbalanced structural model because of the pressure interpolation discrepancy. To obtain equilibrium of an imbalanced structural model, a common practice is to use the “inertia relief” approach to rebalance the model. However, this type of balancing causes a change in the hull girder load distribution, which in turn could cause inaccuracies in an extreme load analysis (ELA) and a spectral fatigue analysis (SFA). This paper presents a method of applying strip theory based linear seakeeping pressure loads to balance 3D finite element models without using inertia relief. The velocity potential of strip sections is first calculated based on hydrodynamic strip theories. The velocity potential of a finite element panel is obtained from the interpolation of the velocity potential of the strip sections. The potential derivative along x-direction is computed using the approach proposed by Salvesen, Tuck and Faltinsen. The hydrodynamic forces and moments are computed using direct panel pressure integration from the finite element structural panel. For forces and moments which cannot be directly converted from pressure, such as hydrostatic restoring force and diffraction force, element nodal forces are generated using Quadratic Programing. The equations of motions are then formulated based on the finite element wetted panels. The method results in a perfectly balanced structural model.


Author(s):  
Kelvin Luu ◽  
Carrie A. Voycheck ◽  
Patrick J. McMahon ◽  
Richard E. Debski

The glenohumeral joint is frequently dislocated causing injury to the glenohumeral capsule (axillary pouch (AP), anterior band of the inferior glenohumeral ligament (AB-IGHL), posterior band of the inferior glenohumeral ligament (PB-IGHL), posterior (Post), and anterosuperior region (AS)). [1, 2] The capsule is a passive stabilizer to the glenohumeral joint and primarily functions to resist dislocation during extreme ranges of motion. [3] When unloaded, the capsule consists of randomly oriented collagen fibers, which play a pertinent role in its function to resist loading in multiple directions. [4] The location of failure in only the axillary pouch has been shown to correspond with the highest degree of collagen fiber orientation and maximum principle strain just prior to failure. [4, 5] However, several discrepancies were found when comparing the collagen fiber alignment between the AB-IGHL, AP, and PB-IGHL. [3,6,7] Therefore, the objective was to determine the collagen fiber alignment and maximum principal strain in five regions of the capsule during uniaxial extension to failure and to determine if these parameters could predict the location of tissue failure. Since the capsule functions as a continuous sheet, we hypothesized that maximum principal strain and peak collagen fiber alignment would correspond with the location of tissue failure in all regions of the glenohumeral capsule.


Author(s):  
Carrie A. Voycheck ◽  
Patrick J. McMahon ◽  
Richard E. Debski

The glenohumeral joint suffers more dislocations than any other joint, most of which occur in the anterior direction. The anterior band of the inferior glenohumeral ligament (AB-IGHL) is the primary restraint to these dislocations and as a result experiences the highest strains during these events. [1] Injuries to the capsule following dislocation include permanent tissue deformation that increases joint mobility and contributes to recurrent instability. [2] This deformation can be quantified by measuring nonrecoverable strain. [3] Simulated injury of the capsule results in permanently elongated tissue and nonrecoverable strain. Current surgical repair techniques are subjective and may not fully address all capsular tissue pathologies resulting from dislocation. Surgeons typically repair the injured capsule by plicating the stretched-out tissue; however, these techniques are inadequate with 23% of patients needing an additional repair. [4] Quantitative data on the changes in the biomechanical properties of the capsule following dislocation may help to predict the amount of capsular tissue to plicate for restoring normal stability. Therefore, the objectives of this study were to quantify changes in stiffness and material properties of the AB-IGHL tissue sample following simulated injury (creation of nonrecoverable strain).


1992 ◽  
Vol 45 (6) ◽  
pp. 191-218 ◽  
Author(s):  
Bruce R. Simon

During the last two decades, biological structures with soft tissue components have been modeled using poroelastic or mixture-based constitutive laws, i.e., the material is viewed as a deformable (porous) solid matrix that is saturated by mobile tissue fluid. These structures exhibit a highly nonlinear, history-dependent material behavior; undergo finite strains; and may swell or shrink when tissue ionic concentrations are altered. Given the geometric and material complexity of soft tissue structures and that they are subjected to complicated initial and boundary conditions, finite element models (FEMs) have been very useful for quantitative structural analyses. This paper surveys recent applications of poroelastic and mixture-based theories and the associated FEMs for the study of the biomechanics of soft tissues, and indicates future directions for research in this area. Equivalent finite-strain poroelastic and mixture continuum biomechanical models are presented. Special attention is given to the identification of material properties using a porohyperelastic constitutive law and a total Lagrangian view for the formulation. The associated FEMs are then formulated to include this porohyperelastic material response and finite strains. Extensions of the theory are suggested in order to include inherent viscoelasticity, transport phenomena, and swelling in soft tissue structures. A number of biomechanical research areas are identified, and possible applications of the porohyperelastic and mixture-based FEMs are suggested.


2018 ◽  
Vol 6 (7_suppl4) ◽  
pp. 2325967118S0011
Author(s):  
Tetsuya Takenaga ◽  
Masahito Yoshida ◽  
Calvin Chan ◽  
Volker Musahl ◽  
Albert Lin ◽  
...  

Objectives: Capsular plication is often performed in addition to arthroscopic Bankart repair. However, little is known regarding the direction of capsular injury making the direction of plication fairly arbitrary. This study aimed to determine the optimal direction for capsular plication within four sub-regions of the inferior glenohumeral capsule following multiple dislocations. Methods: Seven fresh-frozen cadaveric shoulders (age range 48-66 yrs) were dissected free of all soft tissue except the glenohumeral capsule. A grid of strain markers was affixed to the anterior and posterior band (A/PB) of the inferior glenohumeral ligament (IGHL), and the axillary pouch. The position of the markers while the capsule was inflated with minimal pressure served as the reference state. The humerus and scapula were then mounted in a 6 degree-of-freedom robotic testing system. At 60 degrees of abduction and 60 degrees of external rotation of the glenohumeral joint, an anterior load was applied to reach an anterior translation of one half the maximum AP width of the glenoid plus 10 mm. This definition of dislocation resulted in non-recoverable strain and a reproducible Bankart lesion. Following 1, 2, 3, 4, 5 and 10 dislocations, the positions of the strain markers were again recorded with the capsule inflated. The difference in these positions compared to the reference state defined the non-recoverable strain. The strain map was split into four sub-regions, the anterior band of IGHL (AB), anterior axillary pouch (AA), posterior axillary pouch (PA), and the posterior band of IGHL (PB) (Fig. 1). The angle of deviation between each of the maximum principle strain vectors and the AB-IGHL or PB-IGHL for the anterior and posterior regions of the capsule were determined using ImageJ. Circular statistics were employed to calculate mean direction of each sub-region and a Watson-Williams test was performed to compare mean direction among each dislocation with significance set at p < 0.05. The mean direction of all strain vectors in each sub-region was categorized as parallel or perpendicular to the AB-IGHL or PB-IGHL serving as the clinical reference. Direction ranging from 0 to 45 or 135 to 180 degrees was categorized as parallel. Direction ranging between 45 and 135 degrees was categorized as perpendicular. Results: The direction of 81.8% of the AB sub-regions was categorized as parallel and 18.2% categorized as perpendicular to the AB-IGHL. Direction of 61.3% of the AA sub-region was categorized as parallel (Table 1) and 38.7% categorized as perpendicular to AB-IGHL. The direction of 33.3% of the PA sub-region was categorized as parallel and 66.7% categorized as perpendicular to the PB-IGHL. The direction of 21.4% of PB sub-region was categorized as parallel and 78.6% categorized as perpendicular to PB-IGHL. A Watson-Williams test demonstrated that the direction of 81.3% of the sub-regions were not significantly different (p > 0.05) among dislocations for each specimen (Table 1). Conclusion: The non-recoverable strain in most of the AB and AP sub-regions were categorized as parallel to the AB-IGHL while for the PA and PB sub-regions mostly perpendicular to the PB-IGHL. These findings imply that it may be more optimal to plicate the anteroinferior capsule parallel to the AB-IGHL while posteroinferior capsular plication, which is often not classically considered for plication in the setting of anterior instability, may also be necessary and best performed perpendicular to the PB-IGHL. [Figure: see text][Table: see text]


Author(s):  
Amy E. Wright ◽  
Malcolm H. Ray

Finite-element models have three parts: geometry, connections, and material properties. As the visible parts of a model, geometry and connections are generally carefully considered. Material properties often are not chosen with the same degree of care although they are equally important to obtaining good results. Accurate simulations of vehicles striking roadside hardware require an understanding of both the material behavior and the mathematical material models in LS-DYNA3D. A method for comparing LS-DYNA3D simulations with typical ASTM materials tests is described. The behavior and modeling parameters of guardrail steel (AASHTO M-180 Class A Type II) are examined in this study. Experimental and simulation results of quasistatic coupon tests are compared for AASHTO M-180 Class A Type II guardrail steel, and parameters for guardrail steel are recommended.


2019 ◽  
Vol 9 (18) ◽  
pp. 3733 ◽  
Author(s):  
Joshua Fortin-Smith ◽  
James Sherwood ◽  
Patrick Drane ◽  
Eric Ruggiero ◽  
Blake Campshure ◽  
...  

Bat durability is defined as the relative bat/ball speed that results in bat breakage, i.e., the higher the speed required to initiate bat cracking, the better the durability. In 2008, Major League Baseball added a regulation to the Wooden Baseball Bat Standards concerning Slope-of-Grain (SoG), defined to be the angle of the grain of the wood in the bat with respect to a line parallel to the longitudinal axis of the bat, as part of an overall strategy to reverse what was perceived to be an increasing rate of wood bats breaking into multiple pieces during games. The combination of a set of regulations concerning wood density, prescribed hitting surface, and SoG led to a 30% reduction in the rate of multi-piece failures. In an effort to develop a fundamental understanding of how changes in the SoG impact the resulting bat durability, a popular professional bat profile was examined using the finite element method in a parametric study to quantify the relationship between SoG and bat durability. The parametric study was completed for a span of combinations of wood SoGs, wood species (ash, maple, and yellow birch), inside-pitch and outside-pitch impact locations, and bat/ball impact speeds ranging from 90 to 180 mph (145 to 290 kph). The *MAT_WOOD (MAT_143) material model in LS-DYNA was used for implementing the wood material behavior in the finite element models. A strain-to-failure criterion was also used in the *MAT_ADD_EROSION option to capture the initiation point and subsequent crack propagation as the wood breaks. Differences among the durability responses of the three wood species are presented and discussed. Maple is concluded to be the most likely of the three wood species to result in a Multi-Piece Failure. The finite element models show that while a 0°-SoG bat is not necessarily the most durable configuration, it is the most versatile with respect to bat durability. This study is the first comprehensive numerical investigation as to the relationship between SoG and bat durability. Before this numerical study, only limited empirical data from bats broken during games were available to imply a qualitative relationship between SoG and bat durability. This novel study can serve as the basis for developing future parametric studies using finite element modeling to explore a large set of bat profiles and thereby to develop a deeper fundamental understanding of the relationship among bat profile, wood species, wood SoG, wood density, and on-field durability.


2000 ◽  
Vol 28 (2) ◽  
pp. 200-205 ◽  
Author(s):  
John E. Kuhn ◽  
Michael J. Bey ◽  
Laura J. Huston ◽  
Ralph B. Blasier ◽  
Louis J. Soslowsky

The late-cocking phase of throwing is characterized by extreme external rotation of the abducted arm; repeated stress in this position is a potential source of glenohumeral joint laxity. To determine the ligamentous restraints for external rotation in this position, 20 cadaver shoulders (mean age, 65 16 years) were dissected, leaving the rotator cuff tendons, coracoacromial ligament, glenohumeral capsule and ligaments, and coracohumeral ligament intact. The combined superior and middle glenohumeral ligaments, anterior band of the inferior glenohumeral ligament, and the entire inferior glenohumeral ligament were marked with sutures during arthroscopy. Specimens were mounted in a testing apparatus to simulate the late-cocking position. Forces of 22 N were applied to each of the rotator cuff tendons. An external rotation torque (0.06 N m/sec to a peak of 3.4 N m) was applied to the humerus of each specimen with the capsule intact and again after a single randomly chosen ligament was cut (N 5 in each group). Cutting the entire inferior glenohumeral ligament resulted in the greatest increase in external rotation (10.2° 4.9°). This was not significantly different from sectioning the coracohumeral ligament (8.6° 7.3°). The anterior band of the inferior glenohumeral ligament (2.7° 1.5°) and the superior and middle glenohumeral ligaments (0.7° 0.3°) were significantly less important in limiting external rotation.


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