Rotator cuff tendon strain distribution changes from the superior to the inferior tendon attachments with increasing shoulder abduction

IF 3.5 2区 医学 Q2 ENGINEERING, BIOMEDICAL Journal of the Mechanical Behavior of Biomedical Materials Pub Date : 2025-04-16 DOI:10.1016/j.jmbbm.2025.107023
Kyosuke Hoshikawa , Maria Prado , Nariyuki Mura , Takuma Yuri , Philip M. Jacobs , Hugo Giambini
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Abstract

Supraspinatus (SSP), infraspinatus (ISP), and subscapularis (SSC) muscles from the rotator cuff (RC) are comprised of anatomical subregions based on muscle fiber alignment and tendon attachments. Previous studies have shown mechanical interactions between the SSP and ISP tendons, with abduction angle influencing these interactions. However, changes in strain distribution originating from the RC muscle subregions, including the SSC, due to differences in abduction angle have not been investigated. Therefore, this study aimed to determine the strain distribution in intact RC cadaveric shoulders with loading from the SSP, ISP, and SSC muscles and their subregions at different abduction angles. Surface strains in the bursal side of the SSP, ISP and SSC tendons of eight fresh frozen cadaveric intact shoulders were obtained by applying tension on these muscles and on their subregions at 25° and 45° glenohumeral abduction using an MTS system. When the SSP muscle or anterior region was loaded, no significant strain differences were observed within the footprint regions at 45° abduction. However, when the posterior region was loaded, strains concentrated on the middle facet as the abduction angle increased. Significantly higher strains were also observed in the inferior portion of the footprint with increasing abduction angle when the ISP or SSC muscles, or their subregions, were loaded. The differences in strain distribution patterns observed between the anterior and posterior regions of the SSP muscle highlight the importance of addressing each region and tendon separately when managing RC tears and repairs.
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肩袖肌腱应变分布随着肩关节外展幅度的增加而从上部肌腱附着点向下部肌腱附着点变化
来自肩袖(RC)的冈上肌(SSP)、冈下肌(ISP)和肩胛下肌(SSC)由基于肌纤维排列和肌腱附着的解剖亚区组成。先前的研究表明,SSP和ISP肌腱之间的力学相互作用,外展角影响这些相互作用。然而,由于外展角的差异,源自RC肌亚区(包括SSC)的应变分布的变化尚未得到研究。因此,本研究旨在确定在不同外展角度下,受SSP、ISP和SSC肌肉及其亚区载荷的完整RC尸体肩部的应变分布。在25°和45°盂肱外展时,使用MTS系统对这些肌肉及其亚区施加张力,获得了8例新鲜冷冻尸体完整肩部的SSP、ISP和SSC肌腱的法囊侧表面应变。当SSP肌或前区加载时,在45°外展时足迹区域内未观察到显著的应变差异。然而,当后区负荷时,随着外展角的增加,应变集中在中关节面。当ISP或SSC肌肉或其亚区加载时,随着外展角的增加,足印下部也观察到明显更高的应变。SSP肌肉前后区域之间的应变分布模式的差异突出了在处理RC撕裂和修复时分别处理每个区域和肌腱的重要性。
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来源期刊
Journal of the Mechanical Behavior of Biomedical Materials
Journal of the Mechanical Behavior of Biomedical Materials 工程技术-材料科学:生物材料
CiteScore
7.20
自引率
7.70%
发文量
505
审稿时长
46 days
期刊介绍: The Journal of the Mechanical Behavior of Biomedical Materials is concerned with the mechanical deformation, damage and failure under applied forces, of biological material (at the tissue, cellular and molecular levels) and of biomaterials, i.e. those materials which are designed to mimic or replace biological materials. The primary focus of the journal is the synthesis of materials science, biology, and medical and dental science. Reports of fundamental scientific investigations are welcome, as are articles concerned with the practical application of materials in medical devices. Both experimental and theoretical work is of interest; theoretical papers will normally include comparison of predictions with experimental data, though we recognize that this may not always be appropriate. The journal also publishes technical notes concerned with emerging experimental or theoretical techniques, letters to the editor and, by invitation, review articles and papers describing existing techniques for the benefit of an interdisciplinary readership.
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