Shape and function of the diaphysis of the human tibia

Cristofolini, Luca; Angeli, Eva; Juszczyk, Jan; Juszczyk, Mateusz

doi:10.1016/j.jbiomech.2013.04.026

Cited by 20 publications

(13 citation statements)

References 26 publications

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“…This study supplied the similar trends observed in young men and women; there were no differences in the medial and lateral thicknesses, while the anterior thickness was greater than the posterior thickness. Cristofolini et al [25] reported that the geometry of the tibia shows that the diaphysis is shaped so as to resist best to a bending load in a sagittal plane. The linearity was stronger for the area and inertia properties corresponding to a moment in a sagittal plane than in a frontal plane.…”

Section: Discussionmentioning

confidence: 99%

“…Lesser anterior and posterior cortical thicknesses in elderly individuals in the present study may be due to osteoporosis and its related factors, rather thickening by remodeling. As structural characteristics, the tibial diaphysis in the sagittal plane (anteroposterior plane) is originally stronger than that in the coronal plane [25] so that the macrostructural deformity in the sagittal plane, such as bony bowing, may less likely to occur, leading to less remodeling by deformation in the tibia.…”

Section: Discussionmentioning

confidence: 99%

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Cortical thickness of the tibial diaphysis reveals age- and sex-related characteristics between non-obese healthy young and elderly subjects depending on the tibial regions

et al. 2020

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Purpose This study aimed to evaluate the age- and sex-related characteristics in cortical thickness of the tibial diaphysis between non-obese healthy young and elderly subjects as reference data. Methods The study investigated 31 young subjects (12 men and 19 women; mean age, 25 ± 8 years) and 54 elderly subjects (29 men and 25 women; mean age, 70 ± 6 years). Three-dimensional estimated cortical thickness of the tibial diaphysis was automatically calculated for 5000–9000 measurement points using the high-resolution cortical thickness measurement from clinical computed tomography data. In 12 assessment regions created by combining three heights (proximal, central, and distal diaphysis) and four areas of the axial plane at 90° (medial, anterior, lateral, and posterior areas) in the tibial coordinate system, the standardized thickness was assessed using the tibial length. Results As structural characteristics, there were no differences in the medial and lateral thicknesses, while the anterior thickness was greater than the posterior thickness in all groups. The sex-related difference was not shown. As an age-related difference, elderly subjects showed greater or lesser cortical thickness than the young subjects, depending on the regions of the tibia. Conclusions Cortical thickness was different depending on sex, age, and regions in the tibia. The results of this study are of clinical relevance as reference points to clarify the causes of various pathological conditions for diseases. Level of evidence Level 3.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Cortical thickness of the tibial diaphysis reveals age- and sex-related characteristics between non-obese healthy young and elderly subjects depending on the tibial regions

et al. 2020

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“…The portion of the tibia (midshaft) analyzed within this study differs from the one reachable by first-generation HR-pQCT scanners (distal or ultra-distal shaft). Compared to the distal shaft, the mid-diaphysis of the tibia experiences high bending moments during gait [58,59], has a cortical bone that is thicker and is mainly composed of cortical tissue (Fig. 1), making it less affected by axial ROI positioning [60].…”

Section: Discussionmentioning

confidence: 99%

Cortical thinning and accumulation of large cortical pores in the tibia reflect local structural deterioration of the femoral neck

Iori

Schneider

Reisinger

et al. 2020

Bone

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“…Although Cristofolini et al (2013) reported that the tibia is relatively uniform in instances of stress-force exertion; Wolff's Law states that "Every change in the form and the function of a bone or of its function alone is followed by certain definitive changes in its internal architecture". Consequently, in the observational study conducted by Newsham-West et al (2014) it was deduced that the strength of bone is indeed related to its morphology and morphometry.…”

Section: Discussionmentioning

confidence: 99%