Anne Su

Development and Validation of a 3-D Model to Predict Knee Joint Loading During Dynamic Movement

The purpose of this study was to develop a subject-specific 3-D model of the lower extremity to predict neuromuscular control effects on 3-D knee joint loading during movements that can potentially cause injury to the anterior cruciate ligament (ACL) in the knee. The simulation consisted of a forward dynamic 3-D musculoskeletal model of the lower extremity, scaled to represent a specific subject. Inputs of the model were the initial position and velocity of the skeletal elements, and the muscle stimulation patterns. Outputs of the model were movement and ground reaction forces, as well as resultant 3-D forces and moments acting across the knee joint. An optimization method was established to find muscle stimulation patterns that best reproduced the subjects movement and ground reaction forces during a sidestepping task. The optimized model produced movements and forces that were generally within one standard deviation of the measured subject data. Resultant knee joint loading variables extracted from the optimized model were comparable to those reported in the literature. The ability of the model to successfully predict the subjects response to altered initial conditions was quantified and found acceptable for use of the model to investigate the effect of altered neuromuscular control on knee joint loading during sidestepping. Monte Carlo simulations (N = 100,000) using randomly perturbed initial kinematic conditions, based on the subjects variability, resulted in peak anterior force, valgus torque and internal torque values of 378 N, 94 Nm and 71 Nm, respectively, large enough to cause ACL rupture. We conclude that the procedures described in this paper were successful in creating valid simulations of normal movement, and in simulating injuries that are caused by perturbed neuromuscular control.

Horses damp the spring in their step

The muscular work of galloping in horses is halved by storing and returning elastic strain energy in spring-like muscle–tendon units.These make the legs act like a childs pogo stick that is tuned to stretch and recoil at 2.5 strides per second. This mechanism is optimized by unique musculoskeletal adaptations: the digital flexor muscles have extremely short fibres and significant passive properties, whereas the tendons are very long and span several joints. Length change occurs by a stretching of the spring-like digital flexor tendons rather than through energetically expensive length changes in the muscle. Despite being apparently redundant for such a mechanism, the muscle fibres in the digital flexors are well developed. Here we show that the mechanical arrangement of the elastic leg permits it to vibrate at a higher frequency of 30–40 Hz that could cause fatigue damage to tendon and bone. Furthermore, we show that the digital flexor muscles have minimal ability to contribute to or regulate significantly the 2.5-Hz cycle of movement, but are ideally arranged to damp these high-frequency oscillations in the limb.

Trabecular bone anisotropy and orientation in an Early Pleistocene hominin talus from East Turkana, Kenya

Among the structural properties of trabecular bone, the degree of anisotropy is most often found to separate taxa with different habitual locomotor modes. This study examined the degree of anisotropy, the elongation, and primary orientation of trabecular bone in the KNM-ER 1464 Early Pleistocene hominin talus as compared with extant hominoid taxa. Modern human tali were found to have a pattern of relatively anisotropic and elongated trabeculae on the lateral aspect, which was not found in Pan, Gorilla, Pongo, or KNM-ER 1464. Trabecular anisotropy in the fossil talus most closely resembled that of the African apes except for a region of high anisotropy in the posteromedial talus. The primary orientation of trabeculae in the anteromedial region of KNM-ER 1464 was strikingly different from that of the great apes and very similar to that of modern humans in being directed parallel to the talar neck. These results suggest that, relative to that of modern humans, the anteromedial region of the KNM-ER 1464 talus may have transmitted body weight to the midfoot in a similar manner while the lateral aspect may have been subjected to more variable loading conditions.

A Weighted Least-Squares Method for Inverse Dynamic Analysis

Internal forces in the human body can be estimated from measured movements and external forces using inverse dynamic analysis. Here we present a general method of analysis which makes optimal use of all available data, and allows the use of inverse dynamic analysis in cases where external force data is incomplete. The method was evaluated for the analysis of running on a partially instrumented treadmill. It was found that results correlate well with those of a conventional analysis where all external forces are known.

Determination of the Location of the Mental Foramen: A Critical Review

INTRODUCTION The mental foramen (MF) is an important landmark to consider during surgical endodontic procedures. The purpose of this review article was to discuss the variety of techniques that have been developed to determine the location of the MF, to make recommendations for the current best technique available, and to discuss upcoming technologies. METHODS Articles that have addressed the location of the MF were evaluated for information pertinent to include in this review. RESULTS Different technologies have been used to help operators determine the clinical location of the MF. Most of the techniques have shortcomings such as magnification, radiation, and cost. Cone-beam computed tomographic imaging is the best current available imaging technology to determine the accurate location of the MF, but it has shortcomings such as radiation, cost, and not being real time, which means the data must be interpreted at a later time than when the information was computed. CONCLUSIONS In the future, magnetic resonance imaging and ultrasound technologies seem to provide promising noninvasive imaging techniques.

The bipedalism of the Dmanisi hominins: pigeon-toed early Homo?

In the recent description of the hominin postcranial material from Dmanisi, Georgia, Lordkipanidze and colleagues (Lordkipanidze et al. [2007] Nature 449: 305-310) claim that the Dmanisi hominins walked with more medially oriented feet than do modern humans. They draw this functional inference from two postcranial features: a wide talar neck angle and a slight medial torsion of the tibia. However, we believe that the data provided by the authors fail to support their conclusions. Talar neck angle and tibial torsion values from the Dmanisi specimens fall comfortably within the range of modern human variation. We further submit that foot orientation cannot be reliably deduced from the tibia and talus alone.

Physical activity alters limb bone structure but not entheseal morphology

Studies of ancient human skeletal remains frequently proceed from the assumption that individuals with robust limb bones and/or rugose, hypertrophic entheses can be inferred to have been highly physically active during life. Here, we experimentally test this assumption by measuring the effects of exercise on limb bone structure and entheseal morphology in turkeys. Growing females were either treated with a treadmill-running regimen for 10 weeks or served as controls. After the experiment, femoral cortical and trabecular bone structure were quantified with μCT in the mid-diaphysis and distal epiphysis, respectively, and entheseal morphology was quantified in the lateral epicondyle. The results indicate that elevated levels of physical activity affect limb bone structure but not entheseal morphology. Specifically, animals subjected to exercise displayed enhanced diaphyseal and trabecular bone architecture relative to controls, but no significant difference was detected between experimental groups in entheseal surface topography. These findings suggest that diaphyseal and trabecular structure are more reliable proxies than entheseal morphology for inferring ancient human physical activity levels from skeletal remains.

Pre-impact lower extremity posture and brake pedal force predict Foot and ankle forces during an automobile collision

BACKGROUND The purpose of this study was to determine how a drivers foot and ankle forces during a frontal vehicle collision depend on initial lower extremity posture and brake pedal force. METHOD OF APPROACH A 2D musculoskeletal model with seven segments and six right-side muscle groups was used. A simulation of a three-second braking task found 3647 sets of muscle activation levels that resulted in stable braking postures with realistic pedal force. These activation patterns were then used in impact simulations where vehicle deceleration was applied and driver movements and foot and ankle forces were simulated. Peak rearfoot ground reaction force (F(RF)), peak Achilles tendon force (FAT), peak calcaneal force (F(CF)) and peak ankle joint force (F(AJ)) were calculated. RESULTS Peak forces during the impact simulation were 476 +/- 687 N (F(RF)), 2934 +/- 944 N (F(CF)) and 2449 +/- 918 N (F(AJ)). Many simulations resulted in force levels that could cause fractures. Multivariate quadratic regression determined that the pre-impact brake pedal force (PF), knee angle (KA) and heel distance (HD) explained 72% of the variance in peak FRF, 62% in peak F(CF) and 73% in peak F(AJ). CONCLUSIONS Foot and ankle forces during a collision depend on initial posture and pedal force. Braking postures with increased knee flexion, while keeping the seat position fixed, are associated with higher foot and ankle forces during a collision.

Postcranial Pneumaticity and Bone Structure in Two Clades of Neognath Birds

Most living birds exhibit some degree of postcranial skeletal pneumaticity, aeration of the postcranial skeleton by pulmonary air sacs and/or directly from the lungs. The extent of pneumaticity varies greatly, ranging from taxa that are completely apneumatic to those with air filling most of the postcranial skeleton. This study examined the influence of skeletal pneumatization on bone structural parameters in a sample of two size‐ and foraging‐style diverse (e.g., subsurface diving vs. soaring specialists) clades of neognath birds (charadriiforms and pelecaniforms). Cortical bone thickness and trabecular bone volume fraction were assessed in one cervical and one thoracic vertebra in each of three pelecaniform and four charadriiform species. Results for pelecaniforms indicate that specialized subsurface dive foragers (e.g., the apneumatic anhinga) have thicker cortical bone and a higher trabecular bone volume fraction than their non‐diving clademates. Conversely, the large‐bodied, extremely pneumatic brown pelican (Pelecanus occidentalis) exhibits thinner cortical bone and a lower trabecular bone volume fraction. Such patterns in bone structural parameters are here interpreted to pertain to decreased buoyancy in birds specialized in subsurface dive foraging and decreased skeletal density (at the whole bone level) in birds of larger body size. The potential to differentially pneumatize the postcranial skeleton and alter bone structure may have played a role in relaxing constraints on body size evolution and/or habitat exploitation during the course of avian evolution. Notably, similar patterns were not observed within the equally diverse charadriiforms, suggesting that the relationship between pneumaticity and bone structure is variable among different clades of neognath birds. Anat Rec, 296:867–876, 2013.