Lateral force–displacement behaviour of the human patella and its variation with knee flexion — a biomechanical study in vitro

This study measured the patellar lateral force–displacement behaviour at a range of knee flexion angles in normal human cadaver specimens. The knee extensor muscles were loaded in proportion to their physiological cross-sectional areas, the tensions being applied in physiological directions along the separate quadriceps muscles. Knee extension was blocked at a range of knee flexion angles from 0 to 90°, and patellar lateral displacement versus force characteristics were measured. This experiment was repeated with three total muscle forces, 20, 175 and 350 N, which were held constant at all flexion angles. It was shown that similar stability variation was obtained with the different total muscle loads, and also the forces required to produce a range of patellar displacements (1, 5, 9 mm) were examined. A 5 mm lateral patellar displacement required a constant displacing force (i.e. the patella had constant lateral stability) up to 60° knee flexion, and then a significant increase at 90°. The results were related to surgicaland anatomical observations.     

Recent changes in the distribution of a marine gastropod,Patella rustica,across the Iberian Atlantic coast did not result in diminished genetic diversity or increased connectivity

Aim The Lusitanian limpet, Patella rustica Linnaeus, 1758, is a rocky shore intertidal mollusc found throughout the Mediterranean and the north‐east Atlantic from Mauritania to southern France. A 280‐km gap in its distribution in the Iberian north‐west was first reported in the early 20th century. Between 2002 and 2005 this gap was bridged, and unusual climatic and hydrographic events that occurred in the late 1990s are hypothesized to have facilitated transport and settlement of colonizers from the southern edge of the gap. In the present work we used genetic data to investigate differentiation between the edges of the former gap, to determine the origin of colonizers and to assess patterns of connectivity across the historical and newly colonized region. Location Atlantic coast of Iberia (Portugal and north‐west Spain) and Biarritz. Methods The genetic variation of 12 sites, sampled between 2004 and 2006, was assessed through the analysis of five microsatellites (n = 412) and of a 650‐bp fragment of the mitochondrial cytochrome c oxidase subunit I gene (COI; n = 163). F‐statistics were used to investigate differentiation and patterns of gene flow across the distribution of P. rustica, from southern Portugal to Biarritz. The mitochondrial DNA (mtDNA) mismatch distribution was analysed and the mutation–drift equilibrium tested to investigate putative demographic changes. Results Levels of differentiation were low and generally non‐significant. Comparisons between regions of the historical distribution were all non‐significant. For microsatellites, low yet significant genetic differentiation was observed when all three regions were included. Levels of genetic diversity of newly founded populations were similar to those observed within the historical range. Evidence of demographic changes was detected with mtDNA and microsatellites. Main conclusions The studied region is inhabited by a single population, suggesting that the gap in the distribution of P. rustica was not an effective barrier to gene flow. If it has ever prevented gene flow, it did not last enough time for genetic differentiation to occur. On the other hand, the main currents flowing along the Atlantic coast of Iberia could have been responsible for maintaining connectivity through occasional larval transport across a considerable stretch of inhospitable habitat.     

Population genetics of the endangered limpet Patella ferruginea (Gastropoda: Patellidae): taxonomic, conservation and evolutionary considerations

The limpet Patella ferruginea is the most endangered marine invertebrate in the western Mediterranean rocky shores, whereas Patella caerulea is the most common Mediterranean limpet. From Pleistocene to historic age, P. ferruginea was distributed around the whole Mediterranean basin, since the shells of this species are a characteristic feature of Palaeolithic and Neolithic deposits in this area. However, its Mediterranean range has progressively contracted to a few restricted areas. The ancient origin of the species (18 Ma) and the present geographical isolation among relic populations could have led to a great genetic difference among populations, taking into account the supposedly low dispersal ability of the species. However, we have observed a few genetic differences among populations and a 'star phylogeny' of COI haplotypes from the 41 individuals of P. ferruginea analysed; a similar pattern has also been observed for the seven individuals of P. caerulea studied. Genetic evidences show a possible bottleneck event on late Pleistocene that affected the two species. The results have an important implication on the future management of this endangered species. Additionally, two different morphological types of P. ferruginea have been described by Payraudeau in 1826 : lamarcki and rouxi forms. Clear morphological differences occur between these two types and some authors pointed out the hypothesis about the existence of two different species. The results of the present study conclude that the two different forms of P. ferruginea are ecotypes, rather than different species or subspecies, and intermediate steps are an ecological range instead of hybridization events among different species.     

Dynamic in vivo 3-dimensional moment arms of the individual quadriceps components

The purpose of this study was to provide the first in vivo 3-dimensional (3D) measures of knee extensor moment arms, measured during dynamic volitional activity. The hypothesis was that the vastus lateralis (VL) and vastus medialis (VM) have significant off-axis moment arms compared to the central quadriceps components. After obtaining informed consent, three 3D dynamic cine phase contrast (PC) MRI sets (x,y,z velocity and anatomic images) were acquired from 22 subjects during active knee flexion and extension. Using a sagittal-oblique and two coronal-oblique imaging planes, the origins and insertions of each quadriceps muscle were identified and tracked through each time frame by integrating the cine-PC velocity data. The moment arm (MA) and relative moment (RM, defined as the cross product of the tendon line-of-action and a line connecting the line-of-action with the patellar center of mass) were calculated for each quadriceps component. The tendencies of the VM and VL to produce patellar tilt were evenly balanced. Interestingly, the magnitude of RM-P_Spin for the VM and VL is approximately four times greater than the magnitude of RM-P_Tilt for the same muscles suggesting that patellar spin may play a more important role in patellofemoral kinematics than previously thought. Thus, a force imbalance that leads to excessive lateral tilt, such as VM weakness in patellofemoral pain syndrome, would produce excessive negative spin (positive spin: superior patellar pole rotates laterally) and to a much greater degree. This would explain the increased negative spin found in recent studies of patellar maltracking. Assessing the contribution of each quadriceps component in three dimensions provides a more complete understanding of muscle functionality.     

Combined measurement and modeling of specimen-specific knee mechanics for healthy and ACL-deficient conditions

Quantifying the mechanical environment at the knee is crucial for developing successful rehabilitation and surgical protocols. Computational models have been developed to complement in vitro studies, but are typically created to represent healthy conditions, and may not be useful in modeling pathology and repair. Thus, the objective of this study was to create finite element (FE) models of the natural knee, including specimen-specific tibiofemoral (TF) and patellofemoral (PF) soft tissue structures, and to evaluate joint mechanics in intact and ACL-deficient conditions. Simulated gait in a whole joint knee simulator was performed on two cadaveric specimens in an intact state and subsequently repeated following ACL resection. Simulated gait was performed using motor-actuated quadriceps, and loads at the hip and ankle. Specimen-specific FE models of these experiments were developed in both intact and ACL-deficient states. Model simulations compared kinematics and loading of the experimental TF and PF joints, with average RMS differences [max] of 3.0° [8.2°] and 2.1° [8.4°] in rotations, and 1.7 [3.0] and 2.5 [5.1] mm in translations, for intact and ACL-deficient states, respectively. The timing of peak quadriceps force during stance and swing phase of gait was accurately replicated within 2° of knee flexion and with an average error of 16.7% across specimens and pathology. Ligament recruitment patterns were unique in each specimen; recruitment variability was likely influenced by variations in ligament attachment locations. ACL resections demonstrated contrasting joint mechanics in the two specimens with altered knee motion shown in one specimen (up to 5 mm anterior tibial translation) while increased TF joint loading was shown in the other (up to 400 N).     

The persistent spatial patchiness of limpet grazing

The characteristic variability of grazing has potential consequences for intertidal productivity and community structure, particularly as many of the underlying functional relationships are thought to be non linear. As a first approximation, it can be hypothesised that grazing is patchy over short time periods before a more uniform coverage is established over longer time scales. This prediction is supported by relatively short term observations previously made of limpet foraging. We used eight arrays of wax disks on each of four shores to test the hypothesis that grazing is patchy in the short term, but that this pattern is lost as the pattern of grazing averages out over longer time scales. Wax disk arrays were exposed for two weeks at a time for a period of six weeks in 2001 and in 2002 using the same set of disk holes each time. Grazing at the same disk location could therefore be measured over two weeks and over longer periods by averaging successive deployments. We used all three successive deployments to estimate the average grazing at each disk location over a six week period in 2001 and 2002. All six deployments were used to characterise the pattern of grazing at longer time scales. The spatial pattern of grazing in arrays was summarized using semivariogram analyses. For two-week deployments, the average standardized semivariance of grazing for disks separated by 20 cm was less than one. This pattern implies spatial autocorrelation of grazing at this scale. There was no support for the hypothesis that small scale patchiness in grazing would disappear over time. The average strength of spatial autocorrelation increased when data were integrated over longer periods. A preliminary analysis indicated that the degree of autocorrelation within arrays increased with grazing intensity at short time scales. Surface roughness disrupted autocorrelation of grazing over both short and long time scales. The persistent patchiness of grazing is likely to have implications for biofilm productivity, particularly on smoother shores.     

Statistical shape modeling predicts patellar bone geometry to enable stereo-radiographic kinematic tracking

Complications in the patellofemoral (PF) joint of patients with total knee replacements include patellar subluxation and dislocation, and remain a cause for revision. Kinematic measurements to assess these complications and evaluate implant designs require the accuracy of dynamic stereo-radiographic systems with 3D-2D registration techniques. While tibiofemoral kinematics are typically derived by tracking metallic implants, PF kinematic measurements are difficult as the patellar implant is radiotransparent and a representation of the resected patella bone requires either pre-surgical imaging and precise implant placement or post-surgical imaging. Statistical shape models (SSMs), used to characterize anatomic variation, provide an alternative means to obtain the representation of the resected patella for use in kinematic tracking. Using a virtual platform of a stereo-radiographic system, the objectives of this study were to evaluate the ability of an SSM to predict subject-specific 3D implanted patellar geometries from simulated 2D image profiles, and to formulate an effective data collection methodology for PF kinematics by considering accuracy for a variety of patient pose scenarios. An SSM of the patella was developed for 50 subjects and a leave-one-out approach compared SSM-predicted and actual geometries; average 3D errors were 0.45 ± 0.07 mm (mean ± standard deviation), which is comparable to the accuracy of traditional segmentation. Further, initial imaging of the patella in five unique stereo radiographic perspectives yielded the most accurate representation. The ability to predict the remaining patellar geometry of the implanted PF joint with radiographic images and SSM, instead of CT, can reduce radiation exposure and streamline in vivo kinematic evaluations.     

Development of the musculature in the limpet Patella (Mollusca, Patellogastropoda)

 Whole-mount technique using fluorescent-labelled phalloidin for actin staining and confocal laser scanning microscopy as well as semi-thin serial sectioning, scanning and transmission electron microscopy were applied to investigate the ontogeny of the various muscular systems during larval development in the limpets Patella vulgata L. and P. caerulea L. In contrast to earlier studies, which described a single or two larval shell muscles, the pretorsional trochophore-like larva shows no less than four different muscle systems, namely the asymmetrical main head/foot larval retractor muscle, an accessory larval retractor with distinct insertion area, a circular prototroch/velar system, and a plexus-like pedal muscle system. In both Patella species only posttorsional larvae are able to retract into the shell and to close the aperture by means of the operculum. Shortly after torsion the two adult shell muscles originate independently in lateral positions, starting with two fine muscle fibres which insert at the operculum and laterally at the shell. During late larval development the main larval retractor and the accessory larval retractor become reduced and the velar muscle system is shed. In contrast, the paired adult shell muscles and the pedal muscle plexus increase in volume, and a new mantle musculature, the tentacular muscle system, and the buccal musculature arise. Because the adult shell muscles are entirely independent from the various larval muscular systems, several current hypotheses on the ontogeny and phylogeny of the early gastropod muscle system have to be reconsidered. Received: 23 June 1998 / Accepted: 25 November 1998     

Biomineralization of limpet teeth: a cryo-TEM study of the organic matrix and the onset of mineral deposition

The continuously growing limpet radula contains teeth at various stages of maturity and thus provides an excellent opportunity for studying the processes and mechanisms of their mineralization. We report here on our structural investigations of the pre-formed chitin matrix and the initial deposition and growth of goethite (α-FeOOH) crystals within the matrix. By using cryo-techniques, in which unstained sections of the teeth are examined in a frozen-hydrated state in a transmission electron microscope (TEM), we were able to characterize the process without introducing artifacts normally associated with the staining, dehydration, and embedding required for conventional TEM. The unmineralized matrix consists of relatively well ordered, densely packed arrays of chitin fibers, with only a few nanometers between adjacent fibers. There are clearly no pre-formed compartments that control goethite crystal size and shape; rather, crystals must push aside or engulf the fibers as they grow. By examining teeth nearly row-by-row around the onset of mineralization, we were able to image the first-formed mineral within the chitin matrix. These linear deposits of goethite appear to nucleate on the chitin fibers, which thus control the orientation of the crystals. Crystal growth, on the other hand, is apparently not influenced by the matrix, in contrast to many other biomineralization systems.