Biomechanics of tendons and ligaments Flashcards

1
Q

LIGAMENT FUNCTION

A
  • Transmit tensile forces from bone to bone • Strong enough to provide stability
  • Flexible enough to permit joint motion
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2
Q

Vertebral ligaments

A

Anterior & posterior longitudinal ligaments
• Superficial layer – fibres span several levels
• Deep layer – fibres cross only adjacent vertebrae, attach to annulus fibrosis
• Regional differences in size – thickest in thoracic region

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3
Q

• Ligamentum flavum

A
• Thick, elastic ligament connects
lamina (vertebral canal wall)
• Under constant tension (elastic)
• Provides continuous compressive force
• Prevents buckling during movement (helps you ‘spring back up’)

PULLS VERTEBRAE TOGETHER
EXTRA SPRING = COLLAGEN ELASTIN

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4
Q

Plantar ligaments

- ANKLES

A
  • 3 integrated arches –2 longitudinal/ 1 transverse
  • Determined by: • Bony arrangement
  • Plantar ligaments
  • Plantar aponeurosis
  • Functions to adapt to surfaces & dampen impact forces
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5
Q

Anterior cruciate ligament

A
  • Resists anterior tibial translation and rotational loads
  • Complex anatomy - 2 bundles
  • Non-linear load-elongation curve
  • Ability to stabilise knee in various positions and loading conditions
  • Common sporting injury (females 4 times more likely)
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6
Q

Tendon function

A

• Transmit force from muscle to bone (joint motion)
• Absorb, store and release energyàmaximise exercise efficiency
(conserve energy)…muscles are expensive to change length
• Power amplification (store slow and release fast – catapult)
• Protect muscle from damage (power attenuation – shock absorber)

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7
Q

Energy Storage Tendons

A

•Achilles and patellar tendons are the predominant energy storing tendons
•Energy storage tendons have increased elasticity and fatigue resistance (COMPLIANCE)
(most fail at 3.3%, Achilles > 12%)
•During single leg hopping, Achilles tendon contributes up to 16% of total body work by energy storage & release (Litchwark and Wilson, 2005)

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8
Q

Energy buffering tendons

A

During jump landing or walking down a hill, tendon lengthens before muscles to prevent eccentric damage

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9
Q

Energy amplifying tendons

A

During stance, Achilles tendon slowly stores and quickly releases energy during push-off to propel to the next step

Slow Storage + Rapid Recoil = more power!

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10
Q

Achilles tendon

A
  • Fascicles of Achilles tendon spiral 90 deg. during descent • Allows elongation & elastic recoil for energy release
  • MG fairly parallel
  • LG and soleus insert onto calcaneus with strong torsion
  • Important for intra-tendinous strain distribution
  • Regional variations within Achilles tendon strains during walking (function?)
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11
Q

The ilio-tibial band stores energy

A
  • The human IT band evolved for energy storage (chimpanzee vs human comparison) – stores up to 7J of energy during running (14% of Achilles)
  • One of most common overuse running injuries
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12
Q

Mechanical properties of tendon affect muscle output

A
  • A more compliant tendon requires a higher level of muscle contraction before force is generated around a joint.
  • There is a delay between the activation of a muscle and its production of force – the electro-mechanical delay.
  • more compliant tendon = greater electro-mechanical delay, less force transmitted for given change in length.
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13
Q

Aponeurosis

• •

A

An aponeurosis is a broad sheet of dense regular connective tissue Attaches muscle to bone or muscle to muscle or muscle to fascia

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14
Q

ENTHESIS VS MUSCLE-TENDON JUNCTION

A

Enthesis
• Tendon/ligament to bone insertion
• Aids load transfer between elastic tendon/ligament and rigid bone (100x stiffer than tendon/ligament)
• can be fibrous (inserts directly onto long bone) or fibrocartilaginous (4 distinct zones with a gradual transition) or muscular (attachment of muscle to bone without a tendon)

MUSCLE-TENDON JUNCTION
• Abrupt rather than gradual transition
• Collagen fibres and muscle cell membrane interdigitate to increase surface area and reduce stress between tendon and muscle

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