Epidemiologically based reference values for postural load of the shoulder.

Additives that provide stress relief may be incorporated into dental composites to reduce contraction stress (CS). This study attempted to test the hypothesis that conventional fillers could be replaced by high-density polyethylene (HDPE) spheres in hybrid and nanofill composites to reduce CS, but with minimal effect on mechanical properties. Nanofill and hybrid composites were made from a Bis-GMA/TEGDMA resin having either all silica nanofiller or 75 wt.% strontium glass + 5 wt.% silica and replacing some of the nanofiller or the glass with 0%, 5% (hybrid only), 10% or 20 wt.% HDPE. The surface of the HDPE was either left untreated or had a reactive gas surface treatment (RGST). Contraction stress (CS) was monitored for 10 min in a tensilometer (n = 5) after light curing for 60 s at 390 mW/cm(2). Other specimens (n = 5) were light cured 40 s from two sides in a light-curing unit and aged 1 d in water before testing fracture toughness (K(Ic)), flexure strength (FS), and modulus (E). Results were analyzed by ANOVA with Tukey's multiple comparison test at p < 0.05. There was no difference between composites with RGST and untreated HDPE except for FS-10% HDPE hybrid (RGST higher). An increased level of HDPE reduced contraction stress for both types of composites. Flexure strength, modulus (hybrid only), and fracture toughness were also reduced as the concentration of HDPE increased. SEM showed evidence for HDPE debonding and plastic deformation during fracture of the hybrid composites. In conclusion, the addition of HDPE spheres reduces contraction stress in composites, either through stress relief or a reduction in elastic modulus.

Biomechanical Phenomena↗

PubMed2003

Effects of slip severity and loading directions on the stability of isthmic spondylolisthesis: a finite element model study.

STUDY DESIGN: Using a validated finite element model, the biomechanical effects of pars defect in a lumbar segment with and without different degrees of slip (up to 50% slip) were studied. OBJECTIVES: To study the effects of slip severity and loading parameters on the stability of the lytic and adjacent motion segments. Better knowledge of the biomechanics of spondylolisthesis may help formulate treatment strategies such as bracing or spinal implants. SUMMARY OF THE BACKGROUND DATA: Clinically, spondylolisthesis exists in varying grades of anterior slip, and the biomechanical stability of the motion segments at the lytic defect and adjacent level probably varies as well. In vitro studies of L4-L5 and L5-S1 isthmic spondylolisthesis slips have concluded that an L4-L5 pars defect is more unstable than an L5-S1 pars defect. Comparing the stability of lytic motion segments with different grades of spondylolisthesis is difficult to do experimentally and therefore has not been done. Further assessing the stresses in the bone and intervertebral discs at or adjacent to a lytic defect is also difficult to study experimentally, so no data are available. METHODS: A finite element model of L4-S1 was validated with and without a pars defect at L5. The model was then revised to represent different degrees of slip at L5, and six different moment loadings were applied. RESULTS: The current study showed larger decrease in stiffness with increasing percent slip. The decrease in disc stiffness and increase in disc stresses with increasing percent slip were larger at the level of spondylolisthesis as compared to the changes in the adjacent segment. Lateral bending moment and torsion load showed the largest decrease in stiffness due to slip. At 50% slip, the maximum increase in motion (as compared to motion in an intact segment) was seen under lateral bending moment load (about 55% at L4/L5 and 250% at L5/S1). Lateral bending also produced the largest increase in stresses due to 50% slip in the anulus and endplates (300% increase in anular stress and 190% increase in endplate stress) at L5/S1. CONCLUSIONS: The stiffness of a spondylolisthetic motion segment decreases as the slip increases. Lateral bending and torsion are moment directions causing the greatest resulting motions.

Biomechanical Phenomena↗

PubMed2003

The distal semimembranosus complex: normal MR anatomy, variants, biomechanics and pathology.

OBJECTIVE: To describe the normal MR anatomy and variations of the distal semimembranosus tendinous arms and the posterior oblique ligament as seen in the three orthogonal planes, to review the biomechanics of this complex and to illustrate pathologic examples. RESULTS AND CONCLUSION: The distal semimembranosus tendon divides into five tendinous arms named the anterior, direct, capsular, inferior and the oblique popliteal ligament. These arms intertwine with the branches of the posterior oblique ligament in the posterior medial aspect of the knee, providing stability. This tendon-ligamentous complex also acts synergistically with the popliteus muscle and actively pulls the posterior horn of the medial meniscus during knee flexion. Pathologic conditions involving this complex include complete and partial tears, insertional tendinosis, avulsion fractures and bursitis.

Biomechanical Phenomena↗