A joint coordinate system proposal for the study of the trapeziometacarpal joint kinematics.

The International Society of Biomechanics (ISB) has recommended a standardisation for the motion reporting of almost all human joints. This study proposes an adaptation for the trapeziometacarpal joint. The definition of the segment coordinate system of both trapezium and first metacarpal is based on functional anatomy.

[How to define the joint movements unambiguously: proposal of standardization for the trapezometacarpal joint].

In order to define the movements of a joint, clinicians usually use anatomic terms. These terms are clearly understandable for a simple movement, defined in an anatomic plane. However, these terms are ambiguous for complex movements or for movements out of an anatomic plane.

Intrinsic mechanical properties of trabecular calcaneus determined by finite-element models using 3D synchrotron microtomography.

To determine intrinsic mechanical properties (elastic and failure) of trabecular calcaneus bone, chosen as a good predictor of hip fracture, we looked for the influence of image's size on a numerical simulation. One cubic sample of cancellous bone (9 x 9 x 9 mm(3)) was removed from the body of the calcaneus (6 females, 6 males, 79+/-9 yr). These samples were tested under compressive loading.

[The trapezio-metacarpal joint: the strain of the ligaments as a function of the thumb position. Study on an enlarged model].

Introduction: The aim of this paper was to develop an enlarged anatomical model of the trapezio-metacarpal joint in order to measure the strains on the ligaments when this joint was passively moved in several directions under constant loading.

Material And Method: A model of the two first rays of the hand was made in polystyrene, at a X3 enlargement, and the ligaments substituted by rubber bands with well characterized mechanical properties so as to reproduce the actual ratio of stiffness (approximately = 10) of the different tissues (bones and ligaments) found in real life. The first metacarpal was moved in 6 directions as described by Ebskov (1970) and Pieron (1973, 1980) using a small spring exerting a constant force (1.

Relationship between compressive properties of human os calcis cancellous bone and microarchitecture assessed from 2D and 3D synchrotron microtomography.

The aim of this study was to determine the contribution of 2D and 3D microarchitectural characteristics in the assessment of the mechanical strength of os calcis cancellous bone. A sample of cancellous bone was removed in a medio-lateral direction from the posterior body of calcaneus, taken at autopsy in 17 subjects aged 61-91 years. The sample was first used for the assessment of morphological parameters from 2D morphometry and 3D synchrotron microtomography (microCT) (spatial resolution=10 microm).

The degree of mineralization is a determinant of bone strength: a study on human calcanei.

Strength of bones depends on bone matrix volume (BMV), bone microarchitecture, and also on the degree of mineralization of bone (DMB). We have recently shown in osteoporotic patients treated with alendronate that fracture risk decreased and bone mineral density increased with a parallel increase of the DMB due to prolonged secondary mineralization but without modifications of BMV or bone microarchitecture. DMB and strength were both measured at the tissue level in calcaneus bone samples taken at autopsy from 20 subjects (aged 78 +/- 8 years, 8 women, 12 men) who died suddenly without apparent bone disease.

Biomechanical evaluation of cervical lateral mass fixation: a comparison of the Roy-Camille and Magerl screw techniques.

Object: The purpose of this study was to assess human cervical spine pullout force after lateral mass fixation involving two different techniques: the Roy-Camille and the Magerl techniques. Although such comparisons have been conducted previously, because of the heterogeneity of results and the importance of this procedure in clinical practice, it is essential to have data derived from a prospective and randomized biomechanical study involving a sufficient sample of human cervical spines. The authors also evaluated the influence of the sex, the vertebral level, the bone mineral density (BMD), the length of bone purchase, and the thickness of the anterior cortical purchase.

[Comparison of primary trapezometacarpal cup fixation using mechanical tests].

Introduction: In order to optimise the primary fixation of the cup of the Arpe (Biomet Merck) trapeziometacarpal prosthesis, several geometries have been studied. The mechanical strengths of the primary fixations ensured by cup "with slots", "bladed" and "with crown", have been assessed and compared to the one obtained for the primary anchorage of the Arpe cup.

Method: For each cup, the strength of the primary fixation has been assessed in torsion (torque along the cup axis) and bending (torque perpendicular to the cup axis).

[Total trapezometacarpal prostheses: concepts and classification study].

This paper is an attempt to classify the different types of trapezio-metacarpal total prostheses according to their bio-mechanical principle and to compare the bio-mechanics of these prostheses to that of the normal trapeziometacarpal joint. The trapeziometacarpal joint has two approximate centres of rotation (one in the proximal metacarpal, one in the trapezium), two degrees of freedom and two arc of mobility about 70 degrees. The mechanical model of the trapeziometacarpal joint is a universal-joint called "cardan" with three constraint forces (one axial compression force, and two shear forces, radial and posterior) and one constraint moment around the longitudinal axis.

[In vivo cinematic study of the trapezometacarpal joint].

The aim of this study was to assess the trapeziometacarpal joint kinematics from in vivo measurements, both quantifying the ranges of motion and suggesting a suitable joint model. A motion analysis system has been used to collect the spatial trajectories of markers, glued respectively on the thumb and on the hand's palm. A rigorous protocol was set up to make sure of the trapezoid bone's fixity relatively to the hand, and then to be able to characterize the movement of the first metacarpus with respect to the trapezium.

[Variability of muscular and articular forces of the thumb. Comparison of three results during lateral grip].

The aim of this paper is to describe three different laboratory studies of muscular and articular forces in the thumb and to compare and discuss their results in term of constraints (forces and moments) at the carpometacarpal joint during key pinch. Imaging techniques such as biplanar roentgenograms or computer tomography imaging were used on cadaver hands and magnetic resonance imaging on living hands in order to determine bone dimensions, muscle and tendon forces, directions, and centres of rotation. Mechanical models of free bodies with three to five links were created.

Mechanical characterization in shear of human femoral cancellous bone: torsion and shear tests.

In order to investigate and compare the mechanical behaviour of human cancellous bone during different shear loading modes, two tests were performed to characterise human femoral cancellous bone in shear: a torsion test until failure and a shear test using a sharpened stainless steel tube. Paired cylindrical samples were core drilled from 12 human femoral heads, symmetrically with respect to the coronal plane and along the primary trabecular direction. The distal part of the sample was assigned to a torsion test and the shear test was performed on the proximal part along two perpendicular anatomical directions.

High-resolution computed tomography for architectural characterization of human lumbar cancellous bone: relationships with histomorphometry and biomechanics.

The aim of the present study on human vertebral cancellous bone was to validate structural parameters measured with high-resolution (150 microm) computed tomography (HRCT) by referring to histomorphometry and to try to predict mechanical properties of bone using HRCT. Two adjacent vertical cores were removed from the central part of human L2 vertebral body taken after necropsy in 22 subjects aged 47-95 years (10 women, 12 men; mean age 79 +/- 14 years). The right core was used for structural analysis performed by both HRCT and histomorphometry.

[Comparative biomechanical study of 3 types of osteosynthesis of the Duparc grade IV fractures of the calcaneus: value of triangular internal fixation].

Purpose Of The Study: We present an in vitro biomechanical study performed to evaluate and compare, for an experimentally produced fracture of the calcaneum (Duparc grade IV), the reaction of 3 standard models of internal fixation commonly used in these fractures and which occupy different volumes.

Materials And Methods: We compared different methods of fixation using fresh human calcanei. In two experimental series, we compared triangular internal fixation (3 1/4 tube AO plates Saragaglia), Y internal fixation (2 1/3 tube AO plates Bezes), isolated screw technique (three 3.

Mechanical properties of ewe vertebral cancellous bone compared with histomorphometry and high-resolution computed tomography parameters.

The goal of the present study was to determine if a high-resolution computed tomography (HRCT) system with 150 microns resolution was sufficient to predict mechanical properties in ewe lumbar vertebrae. To answer this question, we used a triangular comparison between: HRCT; biomechanics (compression and shear tests); and histomorphometry, which was the reference method for the measurements of morphometric parameters. Two dissected lumbar vertebrae (L-4 and L-5) from 32 ewes were used.

The effects of density and test conditions on measured compression and shear strength of cancellous bone from the lumbar vertebrae of ewes.

An animal model (the ewe) was used to study mechanical parameters of cancellous bone specimens. Compression and shear tests were conducted on ewe vertebral trabecular bone (L1-L5) from old ewes (mean age: 9 years) under two different conditions: first, at room temperature in air ("standard" test conditions); and secondly, in a physiological saline bath regulated at 37 degrees C. The parameters obtained under "standard" test conditions with a uniaxial compression test were the mean value of the maximum strength (sigma max = 22.

[Biomechanical comparative study of three types of osteosynthesis in the treatment of supra and intercondylar fractures of the humerus in adults].

Purpose Of The Study: Supra and intercondylar fractures are the most common fractures of the distal end of the humerus in adult. An osteosynthesis consisting of a plate is the treatment of choice. But location and type of plate always remain open for debate.

Experimentally induced ulno-carpal instability. A study on 13 cadaver wrists.

This experimental work studies the role of ligamentous structures in suspending the carpal bones from the radius and ulna. Thirteen human cadaver wrists underwent a distal radio-ulnar arthrodesis in a neutral position and an arthrodesis between the three bones of the first carpal row. Progressive postero-anterior forces in a palmar direction were applied to the fused carpal bones.

Evolution during growth of the mechanical properties of the cortical bone in equine cannon-bones.

Two specimens (70.0 x 4.5 x 1.

Comparison between bone density and bone strength in glucocorticoid-treated aged ewes.

In order to assess if bone densitometry could be used as an indicator to evaluate bone fragility in short term studies performed on glucocorticoid-treated ewes, correlations between DXA measurements and biomechanical parameters obtained on the same bones were established in 27 aged ewes including sixteen animals treated with methylprednisolone 15 mg/day for 4 months and eleven untreated animals. DXA measurements were performed ex-vivo on HOLOGIC QDR-1000+ device. Biomechanical testings included a three-point bending test on the femur and a compression test on cylinders of cancellous bone excised from two lumbar vertebrae selected between L6 and L4.