1
|
Jang A, Wang B, Ustriyana P, Gansky SA, Maslenikov I, Useinov A, Prevost R, Ho SP. Functional adaptation of interradicular alveolar bone to reduced chewing loads on dentoalveolar joints in rats. Dent Mater 2021; 37:486-495. [PMID: 33589268 DOI: 10.1016/j.dental.2020.12.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2020] [Revised: 10/23/2020] [Accepted: 12/10/2020] [Indexed: 11/24/2022]
Abstract
OBJECTIVES The effects of reduced chewing loads on load bearing integrity of interradicular bone (IB) within dentoalveolar joints (DAJ) in rats were investigated. METHODS Four-week-old Sprague Dawley rats (N = 60) were divided into two groups; rats were either fed normal food, which is hard-pellet food (HF) (N = 30), or soft-powdered chow (SF) (N = 30). Biomechanical testing of intact DAJs and mapping of the resulting mechanical strains within IBs from 8- through 24-week-old rats fed HF or SF were performed. Tension- and compression-based mechanical strain profiles were mapped by correlating digital volumes of IBs at no load with the same IBs under load. Heterogeneity within IB was identified by mapping cement lines and TRAP-positive multinucleated cells using histology, and mechanical properties using nanoindentation technique. RESULTS Significantly decreased interradicular functional space, IB volume fraction, and elastic modulus of IB in the SF group compared with the HF group were observed, and these trends varied with an increase in age. The elastic modulus values illustrated significant heterogeneity within IB from HF or SF groups. Both compression- and tension-based strains were localized at the coronal portion of the IB and the variation in strain profiles complemented the observed material heterogeneity using histology and nanoindentation. SIGNIFICANCE Interradicular space and IB material-related mechanoadaptations in a DAJ are optimized to meet soft food related chewing demands. Results provided insights into age-specific regulation of chewing loads as a plausible "therapeutic dose" to reverse adaptations within the periodontal complex as an attempt to regain functional competence of a dynamic DAJ.
Collapse
Affiliation(s)
- Andrew Jang
- Division of Preclinical Education, Biomaterials & Engineering, Department of Preventive and Restorative Dental Sciences, University of California San Francisco, CA 94143, United States
| | - Bo Wang
- Division of Preclinical Education, Biomaterials & Engineering, Department of Preventive and Restorative Dental Sciences, University of California San Francisco, CA 94143, United States
| | - Putu Ustriyana
- Division of Preclinical Education, Biomaterials & Engineering, Department of Preventive and Restorative Dental Sciences, University of California San Francisco, CA 94143, United States
| | - Stuart A Gansky
- Division of Oral Epidemiology & Dental Public Health, Department of Preventive and Restorative Dental Sciences, University of California San Francisco, CA 94143, United States
| | - Igor Maslenikov
- Technological Institute of Superhard and New Carbon Materials (TISNUM), ul. Tsentral'naya 7, Troitsk, Moscow, 142190, Russia
| | - Alex Useinov
- Technological Institute of Superhard and New Carbon Materials (TISNUM), ul. Tsentral'naya 7, Troitsk, Moscow, 142190, Russia
| | - Richard Prevost
- LaVision Inc. 211 W. Michigan Ave./Suite 100, Ypsilanti, MI 48197, United States
| | - Sunita P Ho
- Division of Preclinical Education, Biomaterials & Engineering, Department of Preventive and Restorative Dental Sciences, University of California San Francisco, CA 94143, United States; Department of Urology, University of California San Francisco, CA 94143, United States.
| |
Collapse
|
2
|
Pre-pharyngeal Swallow Effects of Recurrent Laryngeal Nerve Lesion on Bolus Shape and Airway Protection in an Infant Pig Model. Dysphagia 2016; 32:362-373. [PMID: 27873091 DOI: 10.1007/s00455-016-9762-2] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2016] [Accepted: 11/08/2016] [Indexed: 01/05/2023]
Abstract
Recurrent laryngeal nerve (RLN) damage in infants leads to increased dysphagia and aspiration pneumonia. Recent work has shown that intraoral transport and swallow kinematics change following RLN lesion, suggesting potential changes in bolus formation prior to the swallow. In this study, we used geometric morphometrics to understand the effect of bolus shape on penetration and aspiration in infants with and without RLN lesion. We hypothesized (1) that geometric bolus properties are related to airway protection outcomes and (2) that in infants with RLN lesion, the relationship between geometric bolus properties and dysphagia is changed. In five infant pigs, dysphagia in 188 swallows was assessed using the Infant Mammalian Penetration-Aspiration Scale (IMPAS). Using images from high-speed VFSS, bolus shape, bolus area, and tongue outline were quantified digitally. Bolus shape was analyzed using elliptical Fourier analysis, and tongue outline using polynomial curve fitting. Despite large inter-individual differences, significant within individual effects of bolus shape and bolus area on airway protection exist. The relationship between penetration-aspiration score and both bolus area and shape changed post lesion. Tongue shape differed between pre- and post-lesion swallows, and between swallows with different IMPAS scores. Bolus shape and area affect airway protection outcomes. RLN lesion changes that relationship, indicating that proper bolus formation and control by the tongue require intact laryngeal sensation. The impact of RLN lesion on dysphagia is pervasive.
Collapse
|
3
|
Herring SW, Ochareon P. The Periosteum of the Zygomatic Arch: Vascularization and Growth. Anat Rec (Hoboken) 2016; 299:1661-1670. [DOI: 10.1002/ar.23482] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2016] [Revised: 04/05/2016] [Accepted: 04/12/2016] [Indexed: 11/08/2022]
Affiliation(s)
- Susan W. Herring
- Department of Orthodontics; University of Washington; Seattle Washington
| | - Pannee Ochareon
- Department of Anatomy, Faculty of Dentistry; Mahidol University; Bangkok Thailand
| |
Collapse
|
4
|
Wang Q, Dechow PC. Divided Zygomatic Bone in Primates With Implications of Skull Morphology and Biomechanics. Anat Rec (Hoboken) 2016; 299:1801-1829. [DOI: 10.1002/ar.23448] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2016] [Revised: 04/12/2016] [Accepted: 04/15/2016] [Indexed: 01/06/2023]
Affiliation(s)
- Qian Wang
- Department of Biomedical Sciences Texas A&M University College of Dentistry; Dallas Texas
| | - Paul C. Dechow
- Department of Biomedical Sciences Texas A&M University College of Dentistry; Dallas Texas
| |
Collapse
|
5
|
Singleton M. Functional geometric morphometric analysis of masticatory system ontogeny in papionin primates. Anat Rec (Hoboken) 2015; 298:48-63. [PMID: 25338826 DOI: 10.1002/ar.23068] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2014] [Accepted: 10/11/2014] [Indexed: 11/05/2022]
Abstract
The three-dimensional configuration of the primate masticatory system is constrained by the need to maximize bite forces while avoiding distraction of the temporomandibular joint (TMJ). Within these bounds, shape variation has predictable effects on functional capacities such as mechanical advantage and gape. In this study, geometric morphometric analysis is used to investigate the ontogeny of masticatory function in papionin monkeys and test the hypothesis that biomechanical constraints determine the location of molar eruption. This "constrained eruption hypothesis" predicts that the distalmost molar (DMX) will occupy a consistent location anterior to the TMJ and that jaw adductor muscles will maintain consistent positions relative to both DMX and TMJ. Craniometric landmarks were digitized on cross-sectional ontogenetic series of nine papionin species. Form-space PCA of Procrustes residuals, visualization of Bookstein shape coordinates, and nonparametric ANOVA were used to identify ontogenetic shape trends and test for significant ontogenetic changes in relative landmark positions. In most taxa, DMX maintains a consistent position relative to the TMJ while the anterior dentition migrates anteriorly. Where significant intraspecific ontogenetic differences occur, they involve anterior migration of DMX in later dental stages, likely due to late adolescent growth of the posterior palate. Attachments of the anterior temporalis and deep masseter also maintain consistent positions relative to the TMJ; however, the superficial masseter migrates anteriorly throughout ontogeny. All muscle attachments migrate laterally relative to the TMJ, reflecting positive scaling of adductor PCSA. Overall, results support the constrained eruption hypothesis and suggest mechanisms by which functional capacity is maintained during ontogeny.
Collapse
Affiliation(s)
- Michelle Singleton
- Department of Anatomy, Chicago College of Osteopathic Medicine, Midwestern University, Downers Grove, Illinois
| |
Collapse
|
6
|
Curtis N, Jones MEH, Evans SE, O'Higgins P, Fagan MJ. Cranial sutures work collectively to distribute strain throughout the reptile skull. J R Soc Interface 2013; 10:20130442. [PMID: 23804444 PMCID: PMC3730698 DOI: 10.1098/rsif.2013.0442] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
The skull is composed of many bones that come together at sutures. These sutures are important sites of growth, and as growth ceases some become fused while others remain patent. Their mechanical behaviour and how they interact with changing form and loadings to ensure balanced craniofacial development is still poorly understood. Early suture fusion often leads to disfiguring syndromes, thus is it imperative that we understand the function of sutures more clearly. By applying advanced engineering modelling techniques, we reveal for the first time that patent sutures generate a more widely distributed, high level of strain throughout the reptile skull. Without patent sutures, large regions of the skull are only subjected to infrequent low-level strains that could weaken the bone and result in abnormal development. Sutures are therefore not only sites of bone growth, but could also be essential for the modulation of strains necessary for normal growth and development in reptiles.
Collapse
Affiliation(s)
- Neil Curtis
- Medical and Biological Engineering Research Group, School of Engineering, University of Hull, Hull HU6 7RX, UK.
| | | | | | | | | |
Collapse
|
7
|
Curtis N, Jones MEH, Shi J, O'Higgins P, Evans SE, Fagan MJ. Functional relationship between skull form and feeding mechanics in Sphenodon, and implications for diapsid skull development. PLoS One 2011; 6:e29804. [PMID: 22216358 PMCID: PMC3247290 DOI: 10.1371/journal.pone.0029804] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2011] [Accepted: 12/05/2011] [Indexed: 11/19/2022] Open
Abstract
The vertebrate skull evolved to protect the brain and sense organs, but with the appearance of jaws and associated forces there was a remarkable structural diversification. This suggests that the evolution of skull form may be linked to these forces, but an important area of debate is whether bone in the skull is minimised with respect to these forces, or whether skulls are mechanically "over-designed" and constrained by phylogeny and development. Mechanical analysis of diapsid reptile skulls could shed light on this longstanding debate. Compared to those of mammals, the skulls of many extant and extinct diapsids comprise an open framework of fenestrae (window-like openings) separated by bony struts (e.g., lizards, tuatara, dinosaurs and crocodiles), a cranial form thought to be strongly linked to feeding forces. We investigated this link by utilising the powerful engineering approach of multibody dynamics analysis to predict the physiological forces acting on the skull of the diapsid reptile Sphenodon. We then ran a series of structural finite element analyses to assess the correlation between bone strain and skull form. With comprehensive loading we found that the distribution of peak von Mises strains was particularly uniform throughout the skull, although specific regions were dominated by tensile strains while others were dominated by compressive strains. Our analyses suggest that the frame-like skulls of diapsid reptiles are probably optimally formed (mechanically ideal: sufficient strength with the minimal amount of bone) with respect to functional forces; they are efficient in terms of having minimal bone volume, minimal weight, and also minimal energy demands in maintenance.
Collapse
Affiliation(s)
- Neil Curtis
- Medical and Biological Engineering Research Group, Department of Engineering, University of Hull, Hull, United Kingdom.
| | | | | | | | | | | |
Collapse
|
8
|
Søndergaard L, Dagnæs-Hansen F, Herskin M. Welfare assessment in porcine biomedical research – Suggestion for an operational tool. Res Vet Sci 2011; 91:e1-9. [DOI: 10.1016/j.rvsc.2011.02.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2010] [Revised: 01/19/2011] [Accepted: 02/22/2011] [Indexed: 01/08/2023]
|
9
|
Wang Q, Smith AL, Strait DS, Wright BW, Richmond BG, Grosse IR, Byron CD, Zapata U. The global impact of sutures assessed in a finite element model of a macaque cranium. Anat Rec (Hoboken) 2010; 293:1477-91. [PMID: 20652940 DOI: 10.1002/ar.21203] [Citation(s) in RCA: 44] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
The biomechanical significance of cranial sutures in primates is an open question because their global impact is unclear, and their material properties are difficult to measure. In this study, eight suture-bone functional units representing eight facial sutures were created in a finite element model of a monkey cranium. All the sutures were assumed to have identical isotropic linear elastic material behavior that varied in different modeling experiments, representing either fused or unfused sutures. The values of elastic moduli employed in these trials ranged over several orders of magnitude. Each model was evaluated under incisor, premolar, and molar biting conditions. Results demonstrate that skulls with unfused sutures permitted more deformations and experienced higher total strain energy. However, strain patterns remained relatively unaffected away from the suture sites, and bite reaction force was likewise barely affected. These findings suggest that suture elasticity does not substantially alter load paths through the macaque skull or its underlying rigid body kinematics. An implication is that, for the purposes of finite element analysis, omitting or fusing sutures is a reasonable modeling approximation for skulls with small suture volume fraction if the research objective is to observe general patterns of craniofacial biomechanics under static loading conditions. The manner in which suture morphology and ossification affect the mechanical integrity of skulls and their ontogeny and evolution awaits further investigation, and their viscoelastic properties call for dynamic simulations.
Collapse
Affiliation(s)
- Qian Wang
- Division of Basic Medical Sciences, Mercer University School of Medicine, Macon, Georgia 31207, USA.
| | | | | | | | | | | | | | | |
Collapse
|
10
|
Ravosa MJ, Ross CF, Williams SH, Costley DB. Allometry of masticatory loading parameters in mammals. Anat Rec (Hoboken) 2010; 293:557-71. [PMID: 20235312 DOI: 10.1002/ar.21133] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Considerable research on the scaling of loading patterns in mammalian locomotor systems has not been accompanied by a similarly comprehensive analysis of the interspecific scaling of loading regimes in the mammalian masticatory complex. To address this deficiency, we analyzed mandibular corpus bone strain in 11 mammalian taxa varying in body size by over 2.5 orders of magnitude, including goats, horses, alpacas, pigs, and seven primate taxa. During alert chewing and biting of hard/tough foods, bone-strain data were collected with rosette gauges placed along the lateral aspect of the mandibular corpus below the molars or premolars. Bone-strain data were used to characterize relevant masticatory loading parameters: peak loading magnitudes, chewing cycle duration, chewing frequency, occlusal duty factor, loading rate, and loading time. Interspecific analyses indicate that much as observed in limb elements, corpus peak-strain magnitudes are similar across mammals of disparate body sizes. Chewing frequency is inversely correlated with body size, much as with locomotor stride frequency. Some of this allometric variation in chewing frequency appears to be due to a negative correlation with loading time, which increases with body size. Similar to the locomotor apparatus, occlusal duty factor, or the duration of the chewing cycle during which the corpus is loaded, does not vary with body size. Peak principal-strain magnitudes are most strongly positively correlated with loading rate and only secondarily with loading, with this complex relationship best described by a multiple regression equation with an interaction term between loading rate and loading time. In addition to informing interpretations of craniomandibular growth, form, function, and allometry, these comparisons provide a skeleton-wide perspective on the patterning of osteogenic stimuli across body sizes.
Collapse
Affiliation(s)
- Matthew J Ravosa
- Department of Pathology and Anatomical Sciences, University of Missouri School of Medicine, One Hospital Drive, Columbia, MO 65212, USA.
| | | | | | | |
Collapse
|
11
|
Ellis JL, Thomason J, Kebreab E, Zubair K, France J. Cranial dimensions and forces of biting in the domestic dog. J Anat 2010; 214:362-73. [PMID: 19245503 DOI: 10.1111/j.1469-7580.2008.01042.x] [Citation(s) in RCA: 65] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
The purpose of this paper is to analyse the effects of cranial size and shape in domestic dogs (Canis familiaris) on predicted forces of biting. In addition to continuous size-shape analysis, nine size-shape groups were developed based on three skull shape categories and three skull size categories. Bite forces were predicted from measurements made on dried skulls using two lever models of the skull, as well as simple models derived by regression analysis. Observed bite force values were not available for the database used in this study, so only comparisons between categories and models were undertaken. The effects of shape and size on scaled predicted bite forces were evaluated. Results show that bite force increases as size increases, and this effect was highly significant (P < 0.0001). The effect of skull shape on bite force was significant in medium and large dogs (P < 0.05). Significant differences were not evident in small dogs. Size x shape interactions were also significant (P < 0.05). Bite force predictions by the two lever models were relatively close to each other, whereas the regression models diverged slightly with some negative numbers for very small dogs. The lever models may thus be more robust across a wider range of skull size-shapes. Results obtained here would be useful to the pet food industry for food product development, as well as to paleontologists interested in methods of estimating bite force from dry skulls.
Collapse
Affiliation(s)
- Jennifer Lynn Ellis
- Centre for Nutrition Modelling, Department of Animal and Poultry Science, University of Guelph, Guelph, Ontario, Canada
| | | | | | | | | |
Collapse
|
12
|
Functional cues in the development of osseous tooth support in the pig, Sus scrofa. J Biomech 2009; 42:1961-6. [PMID: 19501361 DOI: 10.1016/j.jbiomech.2009.05.016] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2008] [Revised: 03/04/2009] [Accepted: 05/08/2009] [Indexed: 11/23/2022]
Abstract
Alveolar bone supports teeth during chewing through a ligamentous interface with tooth roots. Although tooth loads are presumed to direct the development and adaptation of these tissues, strain distribution in the alveolar bone at different stages of tooth eruption and periodontal development is unknown. This study investigates the biomechanical effects of tooth loading on developing alveolar bone as a tooth erupts into occlusion. Mandibular segments from miniature pigs, Sus scrofa, containing M(1) either erupting or in functional occlusion, were loaded in compression. Simultaneous recordings were made from rosette strain gages affixed to the lingual alveolar bone and the M(2) crypt. Overall, specimens with erupting M(1)s were more deformable than specimens with occluding M(1)s (mean stiffness of 246 vs. 944 MPa, respectively, p=0.004). The major difference in alveolar strain between the two stages was in orientation. The vertically applied compressive loads were more directly reflected in the alveolar bone strains of erupting M(1)s, than those of occluding M(1)s, presumably because of the mediation of a more mature periodontal ligament (PDL) in the latter. The PDL interface between occluding teeth and alveolar bone is likely to stiffen the system, allowing transmission of occlusal loads. Alveolar strains may provide a stimulus for bone growth in the alveolar process and crest.
Collapse
|
13
|
Main RP, Biewener AA. Skeletal strain patterns and growth in the emu hindlimb during ontogeny. J Exp Biol 2007; 210:2676-90. [PMID: 17644682 DOI: 10.1242/jeb.004580] [Citation(s) in RCA: 61] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
SUMMARYMost studies examining changes in mechanical performance in animals across size have typically focused on inter-specific comparisons across large size ranges. Scale effects, however, can also have important consequences in vertebrates as they increase in size and mass during ontogeny. The goal of this study was to examine how growth and development in the emu (Dromaius novaehollandiae) hindlimb skeleton reflects the demands placed upon it by ontogenetic changes in locomotor mechanics and body mass. Bone strain patterns in the femur and tibiotarsus (TBT) were related to ontogenetic changes in limb kinematics, ground reaction forces, and ontogenetic scaling patterns of the cross-sectional bone geometry, curvature and mineral ash content over a 4.4-fold increase in leg length and 65-fold increase in mass. Although the distribution of principal and axial strains remained similar in both bones over the ontogenetic size range examined, principal strains on the cranial femur and caudal femur and TBT increased significantly during growth. The ontogenetic increase in principal strains in these bones was likely caused by isometry or only slight positive allometry in bone cross-sectional geometry during growth, while relative limb loading remained similar. The growth-related increase in bone strain magnitude was likely mitigated by increased bone mineralization and decreased curvature. Throughout most of ontogeny, shear strains dominated loading in both bones. This was reflected in the nearly circular cross-sectional geometry of the femur and TBT, suggesting selection for resistance to high torsional loads, as opposed to the more eccentric cross-sectional geometries often associated with the bending common to tetrapods with parasagittal limb orientations, for which in vivobone strains have typically been measured to date.
Collapse
Affiliation(s)
- Russell P Main
- Concord Field Station, Department of Organismic and Evolutionary Biology, Harvard University, 100 Old Causeway Road, Bedford, MA 01730, USA.
| | | |
Collapse
|
14
|
Demes B. In vivo bone strain and bone functional adaptation. AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 2007; 133:717-22. [PMID: 17330893 DOI: 10.1002/ajpa.20584] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Mechanistic interpretations of bone cross-sectional shapes are based on the paradigm of shape optimization such that bone offers maximum mechanical resistance with a minimum of material. Recent in vivo strain studies (Demes et al., Am J Phys Anthropol 106 (1998) 87-100, Am J Phys Anthropol 116 (2001) 257-265; Lieberman et al., Am J Phys Anthropol 123 (2004) 156-171) have questioned these interpretations by demonstrating that long bones diaphyses are not necessarily bent in planes in which they offer maximum resistance to bending. Potential limitations of these in vivo studies have been pointed out by Ruff et al. (Am J Phys Anthropol 129 (2006) 484-498). It is demonstrated here that two loading scenarios, asymmetric bending and buckling, would indeed not lead to correct predictions of loads from strain. It is also shown that buckling is of limited relevance for many primate long bones. This challenges a widely held view that circular bone cross sections make loading directions unpredictable for bones which is based on a buckling load model. Asymmetric bending is a potentially confounding factor for bones with directional differences in principal area moments (I(max) > I(min)). Mathematical corrections are available and should be applied to determine the bending axis in such cases. It is concluded that loads can be reliably extrapolated from strains. More strain studies are needed to improve our understanding of the relationships between activities, bone loading regimes associated with them, and the cross-sectional geometry of bones.
Collapse
Affiliation(s)
- Brigitte Demes
- Department of Anatomical Sciences, Stony Brook University, Stony Brook, NY 11794-8081, USA.
| |
Collapse
|