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作 者:王晨 潘海乐[1] Chen Wang;Haile Pan(Department of Orthopedic Surgery,the 2nd Affiliated Hospital of Harbin Medical University,Harbin 150081,China)
机构地区:[1]哈尔滨医科大学附属第二医院骨外科,150081
出 处:《中华肩肘外科电子杂志》2022年第3期221-225,共5页Chinese Journal of Shoulder and Elbow(Electronic Edition)
摘 要:目的建立完整的肩关节及其肩袖组织的三维有限元模型,并做相关力学分析。方法将1名健康成年人肩关节的CT、MRI扫描数据依次导入Mimics 21.0、3-Matic 11.0、Geomagic studio 2012完成模型的构建,再导入到Hypermesh 2019中完成材料赋予、网格划分、施加载荷和边界条件等前处理操作,最后导入Abaqus 6.14软件中模拟肩关节外展5°、10°、15°、20°、25°、30°时,肩袖各组织应力的特点。结果建立的肩袖三维有限元模型具有完整的结构,高度还原了肩袖各组织形态。在力学分析结果中,肩关节外展时冈上肌受力最大,证明了该模型的有效性。结论创建方法切实可行,完整地建立了肩袖的三维有限元模型,可用于肩袖相关的生物力学研究。Background The rotator cuff,also known as the rotator sleeve,consists of the supraspinatus muscle,infraspinatus muscle,teres minor muscle attached to the greater tubercle,and subscapularis muscle attached to the lesser tubercle.It forms a sleeve structure at the anatomical neck of the humerus head.The rotator cuff is an essential stable structure of the shoulder joint.Rotator cuff tear will weaken or even lose the stability of the shoulder joint.It can cause chronic shoulder pain,the third most common symptom in the systemic musculoskeletal system after back and neck pain.According to the study of Minagawa et al,in a group of people with an average age of 69.5 years who underwent health examination,the incidence of rotator cuff tears reached 22.1%.The study of rotator cuff biomechanics is of great value for understanding the occurrence,development mechanism,and surgical treatment of rotator cuff injury.Because measurement techniques and ethical issues limit traditional biomechanical experiments,the stress distribution of rotator cuff under physiological and pathological conditions is almost impossible to obtain.In recent years,with the continuous development of computer technology,software development,and image processing,the rotator cuff’finite element model is becoming increasingly mature,becoming an indispensable tool for biomechanical research of the rotator cuff.Objective To establish a complete three-dimensional finite element model of the shoulder joint and rotator cuff tissue and to conduct the related mechanical analysis.Methods A healthy adult shoulder joint's CT and MRI scan data were successfully imported into Mimics 21.0,3-Matic 11.0,and Geomagic Studio 2012 software to complete the model construction.Then it was imported into the Hypermesh 2019 software to conduct pre-processing operations such as material assignment,mesh division,load application,and boundary conditions.Finally,it was imported into Abaqus 6.14 software to simulate the stress characteristics of rotator cuff tissues at shoulder abd
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