BIOMECHANICS OF TENDONS AND LIGAMENTS 2 Flashcards

1
Q

Different surrounding structures

A
  • Fibrous sheath/retinacula e.g. hand
  • Assist in joint stability
  • Synovial sheaths +/- peritendinous fluid • Reduce friction
  • Bursae e.g. subacromial • at sites of compression
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2
Q

CONNECTIVE TISSUE

A

CELLS:
fibroblasts
chondrocytes
osteoblasts and osteocytes

ECM component:
fibres
prosteoglycans
glycoproteins
tissue fluid
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3
Q

Collagen

A
  • Most abundant protein in the body

* At least 28 types of collagen (….different structures, properties & functions)

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4
Q

Elastin

A
  • 3 dimensional branching pattern
  • Highly elastic, fatigue resistant
  • Able to store & return energy
  • In ligaments, elastin resists transverse and shear deformation
  • Yellowish
  • Aorta (30% elastin)
  • Ligamentum flavum (75%) • Achilles tendon (4.4%)
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5
Q

Proteoglycans (PGs)

A
  • Most abundant non-fibrous proteins
  • Core protein attached to glycosaminoglycan (GAG) side chains- negatively charged, which attracts water
  • PG distribution varies along the length of the tendon
  • Decorin is the most abundant PG in tendon, helps transfer loads between collagen fibrils & regulate collagen fibrillogenesis
  • Lubricin provides lubrication allowing gliding at tendon surface
  • Cartilage associated proteoglycans predominate in areas of tendon subjected to compression (attract water to resist compression)
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6
Q

Composition & structure - Ligament

A
  • Fibroblasts 10-20%; ECM 80-90%
  • Mainly type I collagen, lesser III, IV, V
  • Varying amounts of elastin
  • Collagen/elastin ratio determines stability/mobility
  • Varied collagen arrangement - resists forces in several directions

RESIST FORCE IN MULTIPLE DIRECTIONS

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7
Q

Composition & structure - Tendon

A
  • Similar composition to ligament (10-20/80-90 ratio)
  • Mainly type I collagen (> than ligament) *stronger
  • Less type III collagen (< ligament)
  • Small amounts of elastin
  • Proteoglycans – mainly decorin
  • Collagen aligned along long axis
  • resists uniaxial tensile loads (anisotropic)

RESIST FORCE IN ONE DIRECTION

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8
Q

Tendon Hierarchical Structure

A

Tropocollagen > microfibril > fibril (primary structural unit) > fiber > fascicle (visible to naked eye) > tendon with ectotenon and endotenon (interfasicular matrix)

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9
Q

Paratenon

A

(additional loose connective tissue layer) surrounds tendons in regions away from joints, to facilitate movement of tendons below the skin.

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10
Q

Synovial sheath

A

(additional covering where a tendon passes around a joint) to ensure smooth gliding past surrounding structures.

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11
Q

Mechanical behaviour

A
  • Depends on the nature and direction of applied forces (anisotropic)
  • Heterogeneous - varies along the tendon
  • Tendons & ligaments are viscoelastic
  • Behaviour is time and history dependent
  • Combination of “elasticity” (ability to return to original state, depends on collagen/elastin) & “viscosity” (resistance to deformation; depends on PG/GAG)
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12
Q

Structural vs. material properties

A
  • Material properties are normalized for the object’s size and shape and describe the properties of the underlying material from which the object is made.
  • Structural properties depend on the object’s size and shape.
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13
Q

stress and strain

A

Forces and deformation values depend on size of structure (CSA & length) and its composition
Stress and strain depend on the composition of the structure but are independent of its size.
T = abruptly failures
L = progressive failure

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14
Q

Rate dependent and time dependent properties

A
  • Creep
  • Stress-relaxation
  • Hysteresis
  • Loading rate
  • Temperature
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15
Q

Stress - relaxation

A

• If tissue is stretched to fixed length, the force will decay with time

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16
Q

Hysteresis

A

Hysteresis
• As the tissue is loaded and unloaded, some energy is dissipated through heat
• not all energy stored during loading is given back during unloading (ie:not‘perfect’springs)

How might a marathon run impact upon tendon mechanics?
- overtime can change mechanical properties, decreases tendon stiffness

17
Q

Loading rates

A
  • If tissue is loaded rapidly, more force is required to deform the tissue.
  • Low loading rates > avulsion fracture more common
  • High loading > mid substance tear more common
18
Q

Heating

A

• Heating connective tissue to about 40° C increases creep (affects tropocollagen bonding)
- Note muscles are much more sensitive to temp changes than tendons/ligaments (q10)

  • How might heating be used to improve tissue extensibility?
    changes mechanical properties for tendons and ligaments