The effects of elbow joint angle on the mechanical properties of the common extensor tendon of the humeral epicondyle

2004 ◽  
Vol 18 (4) ◽  
Author(s):  
Jung Soo Han
Keyword(s):  
Mechanical Properties ◽  
Elbow Joint ◽  
Joint Angle ◽  
Extensor Tendon ◽  
The Common

scholarly journals Specialization of tendon mechanical properties results from interfascicular differences

2012 ◽  
Vol 9 (76) ◽  
pp. 3108-3117 ◽  
Author(s):  
Chavaunne T. Thorpe ◽  
Chineye P. Udeze ◽  
Helen L. Birch ◽  
Peter D. Clegg ◽  
Hazel R. C. Screen
Keyword(s):  
Mechanical Properties ◽  
Strain Energy ◽  
High Strain ◽  
Failure Strain ◽  
Extensor Tendon ◽  
Superficial Digital Flexor Tendon ◽  
Matrix Organization ◽  
The Common ◽  
High Strain Energy

Tendons transfer force from muscle to bone. Specific tendons, including the equine superficial digital flexor tendon (SDFT), also store and return energy. For efficient function, energy-storing tendons need to be more extensible than positional tendons such as the common digital extensor tendon (CDET), and when tested in vitro have a lower modulus and failure stress, but a higher failure strain. It is not known how differences in matrix organization contribute to distinct mechanical properties in functionally different tendons. We investigated the properties of whole tendons, tendon fascicles and the fascicular interface in the high-strain energy-storing SDFT and low-strain positional CDET. Fascicles failed at lower stresses and strains than tendons. The SDFT was more extensible than the CDET, but SDFT fascicles failed at lower strains than CDET fascicles, resulting in large differences between tendon and fascicle failure strain in the SDFT. At physiological loads, the stiffness at the fascicular interface was lower in the SDFT samples, enabling a greater fascicle sliding that could account for differences in tendon and fascicle failure strain. Sliding between fascicles prior to fascicle extension in the SDFT may allow the large extensions required in energy-storing tendons while protecting fascicles from damage.

Ultrasonic Percutaneous Tenotomy for Recalcitrant Lateral Elbow Tendinopathy: Clinical and Sonographic Results at 90 Months

2021 ◽  
pp. 036354652110101
Author(s):  
Benjamin F.H. Ang ◽  
P. Chandra Mohan ◽  
Meng Ai Png ◽  
John Carson Allen ◽  
Tet Sen Howe ◽  
...  
Keyword(s):  
Pain Relief ◽  
Extensor Tendon ◽  
Tissue Healing ◽  
Lateral Elbow ◽  
Percutaneous Tenotomy ◽  
Vas Scores ◽  
The Common ◽  
Lateral Elbow Tendinopathy

Background: In a study from our institution, ultrasonic percutaneous tenotomy of the brevis and the common extensor tendon for recalcitrant lateral elbow tendinopathy showed excellent safety profiles, high tolerability, efficiency, sustained pain relief, functional improvement, and sonographic evidence of tissue healing in 20 patients at 3 years’ follow-up. Purpose: To explore the long-term clinical and sonographic results of ultrasonic percutaneous tenotomy of the brevis and the common extensor tendon. Study Design: Case series; Level of evidence, 4. Methods: The same cohort of 20 patients was recalled after 7 years, and visual analog scale (VAS) for pain and Disabilities of the Arm, Shoulder and Hand (DASH) scores, need for secondary intervention, and overall satisfaction were assessed. They were also reassessed using ultrasound imaging of the brevis and the common extensor tendon to evaluate tendon hypervascularity, tendon thickness, and the progress or the recurrence of the hypoechoic scar tissue. Results: We successfully scored 19 patients and performed ultrasound on 16 patients with a median follow-up of 90 months (range, 86-102 months). There were no adverse outcomes and satisfaction remained at 100% (6 patients, satisfied; 13 patients, very satisfied). No patient developed a recurrence of symptoms and signs of lateral elbow tendinopathy, and therefore no secondary intervention was required. The improvement from baseline and early term scores was sustained ( P < .001 for all). At 90 months, there was a significant improvement in VAS scores and DASH–Compulsory scores compared with preprocedure scores and all follow-up times until 3 months. There was no difference in VAS scores and DASH–Compulsory scores at 90 months compared with 6 and 36 months. For DASH–Work scores, there was a significant improvement at 90 months compared with preprocedure scores, but there was no difference between DASH–Work scores at 90 months and scores at all other points of follow-up. At 90 months, hypervascularity remained resolved in 79% of patients, while all patients had reduced tendon swelling and sustained resolution or reduction of the hypoechoic lesion. Conclusion: At the long-term follow-up of 90 months, ultrasonic percutaneous tenotomy of the brevis and the common extensor tendon, previously shown to enhance recovery of lateral elbow tendinopathy, demonstrated good durability of pain relief and functional recovery that was previously achieved. This was accompanied by sustained sonographic tissue healing with no significant deterioration.

scholarly journals Muscle length and joint angle influence spinal but not corticospinal excitability to the biceps brachii across forearm postures

2019 ◽  
Vol 122 (1) ◽  
pp. 413-423 ◽  
Author(s):  
Davis A. Forman ◽  
Daniel Abdel-Malek ◽  
Christopher M. F. Bunce ◽  
Michael W. R. Holmes
Keyword(s):  
Isometric Contraction ◽  
Elbow Joint ◽  
Joint Angle ◽  
Biceps Brachii ◽  
Motor Evoked Potentials ◽  
Muscle Length ◽  
Elbow Flexion ◽  
Corticospinal Excitability ◽  
Biceps Brachii Muscle ◽  
Spinal Excitability

Forearm rotation (supination/pronation) alters corticospinal excitability to the biceps brachii, but it is unclear whether corticospinal excitability is influenced by joint angle, muscle length, or both. Thus the purpose of this study was to separately examine elbow joint angle and muscle length on corticospinal excitability. Corticospinal excitability to the biceps and triceps brachii was measured using motor evoked potentials (MEPs) elicited via transcranial magnetic stimulation. Spinal excitability was measured using cervicomedullary motor evoked potentials (CMEPs) elicited via transmastoid electrical stimulation. Elbow angles were manipulated with a fixed biceps brachii muscle length (and vice versa) across five unique postures: 1) forearm neutral, elbow flexion 90°; 2) forearm supinated, elbow flexion 90°; 3) forearm pronated, elbow flexion 90°; 4) forearm supinated, elbow flexion 78°; and 5) forearm pronated, elbow flexion 113°. A musculoskeletal model determined biceps brachii muscle length for postures 1–3, and elbow joint angles ( postures 4–5) were selected to maintain biceps length across forearm orientations. MEPs and CMEPs were elicited at rest and during an isometric contraction of 10% of maximal biceps muscle activity. At rest, MEP amplitudes to the biceps were largest during supination, which was independent of elbow joint angle. CMEP amplitudes were not different when the elbow was fixed at 90° but were largest in pronation when muscle length was controlled. During an isometric contraction, there were no significant differences across forearm postures for either MEP or CMEP amplitudes. These results highlight that elbow joint angle and biceps brachii muscle length can each independently influence spinal excitability. NEW & NOTEWORTHY Changes in upper limb posture can influence the responsiveness of the central nervous system to artificial stimulations. We established a novel approach integrating neurophysiology techniques with biomechanical modeling. Through this approach, the effects of elbow joint angle and biceps brachii muscle length on corticospinal and spinal excitability were assessed. We demonstrate that spinal excitability is uniquely influenced by joint angle and muscle length, and this highlights the importance of accounting for muscle length in neurophysiological studies.

scholarly journals Study of clay minerals effect on curing characteristics of polymer blends and physical-mechanical properties of prepared vulcanizates

2018 ◽  
Vol 157 ◽  
pp. 07010
Author(s):  
Beáta Pecušová ◽  
Mariana Pajtášová ◽  
Zuzana Mičicová ◽  
Darina Ondrušová ◽  
Andrea Feriancová ◽  
...  
Keyword(s):  
Mechanical Properties ◽  
Polymer Blends ◽  
Clay Minerals ◽  
Structural Type ◽  
Partial Replacement ◽  
Curing Characteristics ◽  
Dioctahedral Smectite ◽  
The Common ◽  
The Given

The given paper deals with the study of the properties of clay minerals, namely montmorillonite and moreover, it is focused on effect of these clay minerals on the curing characteristics of the polymer blends and the physical-mechanical properties of prepared vulcanizates. Montmorillonite is a major clay mineral which has a wide application in many industrial branches. It belongs to the group of dioctahedral smectite minerals with structural type in the ratio of 2:1. Characteristics of prepared modified and organomodified clay minerals are based on sulphur vulcanisation accelerators which are used for the preparation of real polymer blend where they represent a partial replacement of the common carbon black filler and then, the effect on the curing characteristics of polymer blends as well as physical-mechanical properties of the prepared vulcanizates are investigated. The results exhibit that the clay-based filler (modified and organomodified clay minerals) can be used as a partial replacement while the quality of the prepared blends is preserved.

DYNAMICS OF A2 FINGER PULLEY RUPTURE

2007 ◽  
Vol 07 (01) ◽  
pp. 75-87 ◽  
Author(s):  
MING A. TAN ◽  
FRANZ K. FUSS ◽  
GÜNTHER NIEGL
Keyword(s):  
Mechanical Properties ◽  
Mathematical Model ◽  
Initial Rate ◽  
Constant Force ◽  
Common Occurrence ◽  
Pulley System ◽  
Convergence Test ◽  
A2 Pulley ◽  
The Common ◽  
Rupture Mechanism

A mathematical model of the A2 pulley system will enable us to have a better understanding of the mechanics of the pulley-tendon system and provide us with insights of the pulley rupture mechanism. The A2 pulley was modeled based on parallel pulley fibers attached to a phalanx with a tendon passing them. Mechanical properties of the pulleys such as stiffness, strength and friction were included in the model. A convergence test was done to ensure the accuracy of the test. The model managed to show high loads on flexed finger may lead to pulley ruptures. Further studies on the rupture mechanism showed that pulley ruptures are self-propagating when a constant force is applied and the rate of rupture increases, as fewer intact fibers are present to support the load. The initial rate of propagation is much slower and this accelerates as more fibers are ruptured. This explains the common occurrence of partial pulley ruptures.

Calcific Tendinitis of the Common Extensor Tendon - A Case Report -

2011 ◽  
Vol 29 (1) ◽  
pp. 64
Author(s):  
Kwang-Bok Lee ◽  
Kyu-Bum Seo ◽  
Hyun Seong Kang
Keyword(s):  
Case Report ◽  
Extensor Tendon ◽  
Calcific Tendinitis ◽  
The Common
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