The contribution of the glenoid labrum to glenohumeral stability under physiological joint loading using finite element analysis

The labrum contributes to passive glenohumeral joint stability. Cadaveric studies have demonstrated that this has position and load dependency, which has not been quantified under physiological loads. This study aims to validate subject-specific finite element (FE) models against in vitro measurements of joint stability and to utilise the FE models to predict joint stability under physiological loads. The predicted stability values were within ± one standard deviation of experimental data and the FE models showed a reduction in stability of 10–15% with high, physiological, loads. The developed regression equations provide the first representation of passive glenohumeral stability and will aid surgical decision-making.     

Bi-directional mechanical properties of the posterior region of the glenohumeral capsule

The objective of this study was to determine the mechanical properties of the posterior region of the glenohumeral capsule in the directions perpendicular (transverse) and parallel (longitudinal) to the longitudinal axis of the posterior band of the inferior glenohumeral ligament. A punch was used to excise one transverse and one longitudinal tissue sample from the posterior capsule of 11 cadaveric shoulders. All tissue samples exhibited the typical nonlinear behavior reported for ligaments and tendons. Significant differences (p < 0.05) were detected between the transverse and longitudinal tissue samples for ultimate stress (1.5+/-1.4 and 4.9+/-2.9 MPa, respectively) and tangent modulus (10.3+/-6.6 and 31.5+/-12.7 MPa, respectively). No significant differences (p > 0.05) were observed between the ultimate strain (transverse: 22.3+/-12.5%, longitudinal: 22.8+/-11.1%) and strain energy density (transverse: 27.2+/-52.8 MPa, longitudinal: 67.5+/-88.2 MPa) of the transverse and longitudinal tissue samples. The ratio of the longitudinal to transverse moduli (4.8+/-4.2) was similar to that found for the axillary pouch (3.3+/-2.8) in a previous study. Thus, both the axillary pouch and the posterior capsule function to stabilize the joint multi-axially. Future analytical models of the glenohumeral joint should consider the properties of the posterior capsule in its transverse and longitudinal directions to fully describe the behavior of the glenohumeral capsule. These models will be clinically important by providing a more accurate representation of the intact capsule as well as simulated capsular injuries and surgical repair procedures.     

Effects of gel thickness on microscopic indentation measurements of gel modulus

In vitro, animal cells are mostly cultured on a gel substrate. It was recently shown that substrate stiffness affects cellular behaviors in a significant way, including adhesion, differentiation, and migration. Therefore, an accurate method is needed to characterize the modulus of the substrate. In situ microscopic measurements of the gel substrate modulus are based on Hertz contact mechanics, where Young's modulus is derived from the indentation force and displacement measurements. In Hertz theory, the substrate is modeled as a linear elastic half-space with an infinite depth, whereas in practice, the thickness of the substrate, h, can be comparable to the contact radius and other relevant dimensions such as the radius of the indenter or steel ball, R. As a result, measurements based on Hertz theory overestimate the Young's modulus. In this work, we discuss the limitations of Hertz theory and then modify it, taking into consideration the nonlinearity of the material and large deformation using a finite-element method. We present our results in a simple correction factor, ψ, the ratio of the corrected Young's modulus and the Hertz modulus in the parameter regime of δ/h ≤ min (0.6, R/h) and 0.3 ≤ R/h ≤ 12.7. The ψ factor depends on two dimensionless parameters, R/h and δ/h (where δ is the indentation depth), both of which are easily accessible to experiments. This correction factor agrees with experimental observations obtained with the use of polyacrylamide gel and a microsphere indentation method in the parameter range of 0.1 ≤ δ/h ≤ 0.4 and 0.3 ≤ R/h ≤ 6.2. The effect of adhesion on the use of Hertz theory for small indentation depth is also discussed.     

Changes to the mechanical properties of the glenohumeral capsule during anterior dislocation

The glenohumeral joint is the most frequently dislocated major joint in the body, and instability due to permanent deformation of the glenohumeral capsule is a common pathology. The corresponding change in mechanical properties may have implications for the ideal location and extent of plication, which is a common clinical procedure used to repair the capsule. Therefore, the objective of this study was to quantify the mechanical properties of four regions of the glenohumeral capsule after anterior dislocation and compare the properties to the normal glenohumeral capsule. Six fresh-frozen cadaveric shoulders were dislocated in the anterior direction with the joint in the apprehension position using a robotic testing system. After dislocation, mechanical testing was performed on the injured glenohumeral capsule by loading the tissue samples in tension and shear. An inverse finite element optimization routine was used to simulate the experiments and obtain material coefficients for each tissue sample. Cauchy stress–stretch curves were then generated to represent the mechanical response of each tissue sample to theoretical loading conditions. Based on several comparisons (average of the material coefficients, average stress–stretch curve for each region, and coefficients representing the average curves) between the normal and injured tissue samples, the mechanical properties of the injured tissue samples from multiple regions were found to be lower than those of the normal tissue in tension but not in shear. This finding indicates that anterior dislocation primarily affects the tensile behavior of the glenohumeral capsule rather than the shear behavior, and this phenomenon could be caused by plastic deformation of the matrix, permanent collagen fiber rotation, and/or collagen fiber failure. These results suggest that plication and suturing may not be sufficient to return stability to the shoulder after dislocation in all individuals. Thus, surgeons may need to perform a procedure that reinforces or stiffens the tissue itself, such as reconstruction or augmentation, to improve repair procedures.     

The structure and function of the labrum in the lobster Homarus gammarus (L.).

The labrum of decapod crustaceans is a soft lobe overhanging the mouth. The labral skeleton, musculature and innervation of Homarus gammarus are described. There are three bilateral groups of sensory neurons innervating the floor, lobe and lateral walls of the labrum. These are probably responsible for the phasic afferent activity that can be recorded from the inner labral nerve on mechanical deformation of the labrum. The labrum undergoes rhythmical retraction-protraction movements during ingestion and is shown to be active during both mandibular activity and oesophageal peristalsis. Studies were made on the duration and frequency of labral "swallowing" activity. The role of the labrum in feeding is discussed.     

The impact of G-protein-coupled receptor hetero-oligomerization on function and pharmacology

Although highly controversial just a few years ago, the idea that G-protein-coupled receptors (GPCRs) may undergo homo-oligomerization or hetero-oligomerization has recently gained considerable attention. The recognition that GPCRs may exhibit either dimeric or oligomeric structures is based on a number of different biochemical and biophysical approaches. Although much effort has been spent to demonstrate the mechanism(s) by which GPCRs interact with each other, the physiological relevance of this phenomenon remains elusive. An additional source of uncertainty stems from the realization that homo-oligomerization and hetero-oligomerization of GPCRs may affect receptor binding and activity in different ways, depending on the type of interacting receptors. In this brief review, the functional and pharmacological effects of the hetero-oligomerization of GPCR on binding and cell signaling are critically analyzed.     

Microencapsulation of bovine spermatozoa: effect of capsule membrane thickness on spermatozoal viability and fertility

This study was undertaken to investigate the relationship between the cationic polymer (poly-L-lysine) concentration and microcapsule membrane thickness, maintenance of spermatozoal motility in vitro, and pregnancy rate in 335 oestrous synchronized Friesian heifers. Semen was extended in CAPROGEN^™ containing 5% egg yolk and a final encapsulated spermatozoal concentration of 20 × 10⁶ spermatozoa ml⁻¹. Four concentrations of poly-L-lysine were studied (0.025, 0.05, 0.075, and 0. 1%, w/v). Microcapsule membrane thickness resulting from these concentrations was 3.22 ± 0.54 μm (mean ± SD), 5.30 ± 0.31 μm, 7.12 ± 0.41 μm, and 7.44 ± 0.85 μm, respectively (P < 0.05). Spermatozoal viability, as assessed by motility estimates at 24 h intervals during 120 h of incubation at 37°C, was not influenced by polymer concentration or different than unencapsulated controls. For fertility evaluation approximately 65 Friesian heifers were inseminated with spermatozoa either unencapsulated or encapsulated with one of the four polymer concentrations. Oestrous synchronization was accomplished with the combination of a progesterone-impregnated CIDR-B^® device containing a 10 mg oestradiol benzoate capsule inserted for 10 days with administration of 12.5 mg of prostaglandin F_2α on Day 6 of CIDR-B^® insertion. Heifers were inseminated in the uterine corpus at 24 h after CIDR-B^® removal which constituted the pro-oestrous stage of the cycle for 95.5% of the heifers. Inseminate dose rate was 5 × 10⁶ spermatozoa in 0.25 ml. Pregnancy rates were similar for heifers inseminated with encapsulated and unencapsulated spermatozoa (49.4 vs. 48.6%).From these studies we conclude that poly-L-lysine concentration does influence the microcapsule membrane thickness without affecting maintenance of spermatozoal motility in vitro or fertility of oestrous synchronised Friesian heifers.     

Bi-directional mechanical properties of the axillary pouch of the glenohumeral capsule: implications for modeling and surgical repair

The objective of this study was to determine the mechanical properties of the axillary pouch of the inferior glenohumeral ligament in the directions perpendicular (transverse) and parallel (longitudinal) to the longitudinal axis of the anterior band of the inferior glenohumeral ligament. A punch was used to excise one transverse and one longitudinal tissue sample from the axillary pouch of each cadaveric shoulder (n = 10). Each tissue sample was preconditioned and then a load-to-failure test was performed. All tissue samples exhibited the typical nonlinear behavior reported for ligaments and tendons. Significant differences (p < 0.05) were detected between the transverse and longitudinal tissue samples for ultimate stress (0.8 +/- 0.4 MPa and 2.0 +/- 1.0 MPa, respectively) and tangent modulus (5.4 +/- 2.9 MPa and 14.8 +/- 13.1 MPa, respectively). No significant differences (p > 0.05) were observed between the ultimate strain (transverse: 23.5 +/- 11.5%, longitudinal: 33.3 +/- 23.6%) and strain energy density (transverse: 10.8 +/- 8.5 MPa, longitudinal: 21.1 +/- 15.4 MPa) of the transverse and longitudinal tissue samples. The ultimate stress determined for the longitudinal axillary pouch tissue samples was comparable to a previous study that reported it to be 5.5 +/- 2.0 MPa. The ratio of the longitudinal to transverse moduli (3.3 +/- 2.8) is considerably less than that of the medial collateral ligament of the knee (30) and interosseous ligament of the forearm (385), suggesting that the axillary pouch functions to stabilize the joint in more than just one direction. Future models of the glenohumeral joint and surgical repair procedures should consider the properties of the axillary pouch in its transverse and longitudinal directions to fully describe the behavior of the inferior glenohumeral ligament.     

Collagen fiber alignment and maximum principal strain in the glenohumeral capsule predict location of failure during uniaxial extension

The glenohumeral joint is frequently dislocated resulting in injury to the glenohumeral capsule. Repair techniques that focus on restoring the capsule after dislocation to re-establish its stabilizing function could benefit from predictions of the location of failure in this continuous sheet of tissue with a random collagen fiber alignment in the unloaded state. Therefore, the objective of this study was to determine the collagen fiber alignment and maximum principal strain in all regions of the capsule during uniaxial extension to failure and to determine whether these parameters could predict the location of tissue failure. Collagen fiber alignment, quantified using a small-angle light-scattering device, and maximum principal strain in the capsule were determined at 5 % increments of elongation until tissue failure. A contingency table analyzed with Fischer’s exact test demonstrated that peak collagen fiber alignment, represented by the normalized orientation index ( $p < 0.001$ ) and maximum principal strain ( $p < 0.001$ ), is significant in predicting location of failure. The direct correlation between the maximum principal strain and collagen fiber alignment measured prior to failure to the location of tissue failure suggests these parameters can be used as a predictive tool to help locate the areas of the glenohumeral capsule that are susceptible to failure. In the future, changes in collagen fiber alignment following injury could be used to develop a constitutive model for injured capsular tissue.     

The impact of social disparity on prefrontal function in childhood

The prefrontal cortex (PFC) develops from birth through late adolescence. This extended developmental trajectory provides many opportunities for experience to shape the structure and function of the PFC. To date, a few studies have reported links between parental socioeconomic status (SES) and prefrontal function in childhood, raising the possibility that aspects of environment associated with SES impact prefrontal function. Considering that behavioral measures of prefrontal function are associated with learning across multiple domains, this is an important area of investigation. In this study, we used fMRI to replicate previous findings, demonstrating an association between parental SES and PFC function during childhood. In addition, we present two hypothetical mechanisms by which SES could come to affect PFC function of this association: language environment and stress reactivity. We measured language use in the home environment and change in salivary cortisol before and after fMRI scanning. Complexity of family language, but not the child's own language use, was associated with both parental SES and PFC activation. Change in salivary cortisol was also associated with both SES and PFC activation. These observed associations emphasize the importance of both enrichment and adversity-reduction interventions in creating good developmental environments for all children.     

Finite element modelling of the glenohumeral capsule can help assess the tested region during a clinical exam

The objective of this research was to examine the efficacy of evaluating the region of the glenohumeral capsule being tested by clinical exams for shoulder instability using finite element (FE) models of the glenohumeral joint. Specifically, the regions of high capsule strain produced by glenohumeral joint positions commonly used during a clinical exam were identified. Kinematics that simulated a simple translation test with an anterior load at three external rotation angles were applied to a validated, subject-specific FE model of the glenohumeral joint at 60° of abduction. Maximum principal strains on the glenoid side of the inferior glenohumeral ligament (IGHL) were significantly higher than the maximum principal strains on the humeral side, for all three regions of the IGHL at 30° and 60° of external rotation. These regions of localised strain indicate that these joint positions might be used to test the glenoid side of the IGHL during this clinical exam, but are not useful for assessing the humeral side of the IGHL. The use of FE models will facilitate the search for additional joint positions that isolate high strains to other IGHL regions, including the humeral side of the IGHL.     

Adhesion study of silicone coatings: the interaction of thickness,modulus and shear rate on adhesion force

Abstract

Interactions between coating thickness, modulus and shear rate on pseudobarnacle adhesion to a platinum-cured silicone coating were studied using a statistical experimental design. A combined design method was used for two mixture components and two process variables. The two mixture components, vinyl end-terminated polydimethylsiloxanes (V21: MW = 6 kg mole^?1 and V35: MW = 4 9.5 kg mole^?1, Gelest Inc.) were mixed at five different levels to vary the modulus. The dry coating thickness was varied from 160 – 740 μm and shear tests were performed at four different shear rates (2, 7, 12, and 22 μm s^?1). The results of the statistical analysis showed that the mixture components were significant factors on shear stress, showing an interaction with the process variable. For the soft silicone coating based on the high molecular weight polydimethylsiloxane (E = 0.08 MPa), shear stress significantly increased as coating thickness decreased, while shear rate slightly impacted shear force especially at 160 μm coating thickness. As the modulus was increased (E = 1.3 MPa), more force was required to detach the pseudobarnacle from the coatings, but thickness and rate dependence on shear stress became less important.     

Adhesion study of silicone coatings: the interaction of thickness, modulus and shear rate on adhesion force

Interactions between coating thickness, modulus and shear rate on pseudobarnacle adhesion to a platinum-cured silicone coating were studied using a statistical experimental design. A combined design method was used for two mixture components and two process variables. The two mixture components, vinyl end-terminated polydimethylsiloxanes (V21: MW=6 kg mole(-1) and V35: MW=4 9.5 kg mole(-1), Gelest Inc.) were mixed at five different levels to vary the modulus. The dry coating thickness was varied from 160 - 740 microm and shear tests were performed at four different shear rates (2, 7, 12, and 22 microm s(-1)). The results of the statistical analysis showed that the mixture components were significant factors on shear stress, showing an interaction with the process variable. For the soft silicone coating based on the high molecular weight polydimethylsiloxane (E=0.08 MPa), shear stress significantly increased as coating thickness decreased, while shear rate slightly impacted shear force especially at 160 microm coating thickness. As the modulus was increased (E=1.3 MPa), more force was required to detach the pseudobarnacle from the coatings, but thickness and rate dependence on shear stress became less important.     

Interrelationship of capsule thickness and breast hardness confirmed by a new measurement method

All implants initiate a foreign-body response that leads to their encapsulation by scar tissue. In order to better understand this encapsulation process and the differences between soft (comfortable) and firm (contracted) breasts, we studied 22 patients who had come in for reaugmentation during a 2-year period. The capsules removed were prepared and measured using a new method. The capsules were (1) removed and stored in physiologic solution until the time of measurement (30 minutes to 2 hours) and (2) measured using a Mitutoyo dial-thickness gauge (MDTG) that employs a uniform pressure of 85 gm. The measurements revealed that soft breasts (Baker 1) have the thinnest scar-tissue capsules, which ranged in thickness from 0.002 to 0.010 inches. Firm breasts yielded the thickest capsules. Baker 3 measured between 0.010 and 0.078 inches thick, and Baker 4 measured between 0.018 and 0.162 inches thick. We also compared the precision of measurement between the MDTG and a standard (screw-type) micrometer by taking a series of readings on a soft, pliable substance (textured silicone rubber).     

The impact of function perturbations in Boolean networks

MOTIVATION: A network is said to be robust relative to a certain network characteristic if a small change in network structure does not significantly affect the characteristic. From the perspective of network stability, robustness is desirable; however, from the perspective of intervention to exert influence on network behavior, it is undesirable. For Boolean networks, there are two fundamental types of robustness. One type pertains to perturbing the state of the network and the other to perturbing the rule-based structure. RESULTS: This article explores the impact of function perturbations in Boolean networks from two aspects: (1) analysis: predict the impact on network state transitions and attractors via analytical approaches or identify a perturbation by observing its consequences; (2) synthesis: preserve or modify the network characteristics, especially attractors, by introducing a judicious change to the functions. The results are applied to achieve intervention that structurally alters the network to achieve a more favorable steady-state distribution and to identify the function perturbation that has led to altered observed behavior. The intervention procedure is applied to a WNT5A network to reduce the risk of metastasis in melanoma, and the identification procedure is applied to a Drosophila melanogaster segmentation polarity gene network to identify regulatory function perturbation.     

Finding consistent strain distributions in the glenohumeral capsule between two subjects: implications for development of physical examinations

The anterior-inferior glenohumeral capsule is the primary passive stabilizer to the glenohumeral joint during anterior dislocation. Physical examinations following dislocation are crucial for proper diagnosis of capsule pathology; however, they are not standardized for joint position which may lead to misdiagnoses and poor outcomes. To suggest joint positions for physical examinations where the stability provided by the capsule may be consistent among patients, the objective of this study was to evaluate the distribution of maximum principal strain on the anterior-inferior capsule using two validated subject-specific finite element models of the glenohumeral joint at clinically relevant joint positions. The joint positions with 25 N anterior load applied at 60° of glenohumeral abduction and 10°, 20°, 30° and 40° of external rotation resulted in distributions of strain that were similar between shoulders (r2 ≥ 0.7). Furthermore, those positions with 20-40° of external rotation resulted in capsule strains on the glenoid side of the anterior band of the inferior glenohumeral ligament that were significantly greater than in all other capsule regions. These findings suggest that anterior stability provided by the anterior-inferior capsule may be consistent among subjects at joint positions with 60° of glenohumeral abduction and a mid-range (20-40°) of external rotation, and that the glenoid side has the greatest contribution to stability at these joint positions. Therefore, it may be possible to establish standard joint positions for physical examinations that clinicians can use to effectively diagnose pathology in the anterior-inferior capsule following dislocation and lead to improved outcomes.     

The effect of glenohumeral plane of elevation on supraspinatus subacromial proximity

Shoulder pain is a common clinical problem affecting most individuals in their lifetime. Despite the high prevalence of rotator cuff pathology in these individuals, the pathogenesis of rotator cuff disease remains unclear. Position and motion related mechanisms of rotator cuff disease are often proposed, but poorly understood. The purpose of this study was to determine the impact of systematically altering glenohumeral plane on subacromial proximities across arm elevation as measures of tendon compression risk. Three-dimensional models of the humerus, scapula, coracoacromial ligament, and supraspinatus were reconstructed from MRIs in 20 subjects. Glenohumeral elevation was imposed on the humeral and supraspinatus tendon models for three glenohumeral planes, which were chosen to represent flexion, scapular plane abduction, and abduction based on average values from a previous study of asymptomatic individuals. Subacromial proximity was quantified as the minimum distance between the supraspinatus tendon and coracoacromial arch (acromion and coracoacromial ligament), the surface area of the supraspinatus tendon within 2 mm proximity to the coracoacromial arch, and the volume of intersection between the supraspinatus tendon and coracoacromial arch. The lowest modeled subacromial supraspinatus compression measures occurred during flexion at lower angles of elevation. This finding was consistent across all three measures of subacromial proximity. Knowledge of this range of reduced risk may be useful to inform future studies related to patient education and ergonomic design to prevent the development of shoulder pain and dysfunction.