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  4. Effect of partial-thickness tear on loading capacities of the supraspinatus tendon: a finite element analysis
 
research article

Effect of partial-thickness tear on loading capacities of the supraspinatus tendon: a finite element analysis

Engelhardt, Christoph
•
Ingram, David  
•
Müllhaupt, Philippe
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2015
Computer Methods in Biomechanics and Biomedical Engineering

Partial-thickness tears of the supraspinatus tendon frequently occur at its insertion on the greater tubercule of the humerus, causing pain and reduced strength and range of motion. The goal of this work was to quantify the loss of loading capacity due to tendon tears at the insertion area. A finite element model of the supraspinatus tendon was developed using in vivo magnetic resonance images data. The tendon was represented by an anisotropic hyperelastic constitutive law identified with experimental measurements. A failure criterion was proposed and calibrated with experimental data. A partial-thickness tear was gradually increased, starting from the deep articular-sided fibres. For different values of tendon tear thickness, the tendon was mechanically loaded up to failure. The numerical model predicted a loss in loading capacity of the tendon as the tear thickness progressed. Tendon failure was more likely when the tendon tear exceeded 20%. The predictions of the model were consistent with experimental studies. Partial-thickness tears below 40% tear are sufficiently stable to persist physiotherapeutic exercises. Above 60% tear surgery should be considered to restore shoulder strength.

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Type
research article
DOI
10.1080/10255842.2015.1075012
Web of Science ID

WOS:000371497100007

Author(s)
Engelhardt, Christoph
Ingram, David  
Müllhaupt, Philippe
Farron, Alain
Becce, Fabio
Pioletti, Dominique  
Terrier, Alexandre  
Date Issued

2015

Publisher

Taylor & Francis

Published in
Computer Methods in Biomechanics and Biomedical Engineering
Volume

19

Issue

8

Start page

875

End page

882

Subjects

Shoulder

•

supraspinatus tendon tear

•

loading capacity

Editorial or Peer reviewed

NON-REVIEWED

Written at

EPFL

EPFL units
LBO  
LA  
Available on Infoscience
December 7, 2015
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/121487
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