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DOI: 10.1007/s00223-001-1006-1
Received: 16 January 2001 / Accepted: 11 July 2001 / Online publication: 3 December 2001
Abstract. Shear properties of bone have been inferred from age develops within the bone tissue and with time can ac-
torsion tests. However, torsion often causes spiral fracture cumulate. The combination of the bone weakening effects
planes that correspond to tensile rather than shear failure. of microdamage accumulation and bone resorption that is
We measured the shear properties of human cortical bone in
both longitudinal and transverse directions using pure shear triggered by microdamage can lead to stress fracture [2].
tests. Shearing applied transverse to the bone long axis Microdamage may be caused by either tensile, compressive,
caused fracture along a 45° plane that coincided with maxi- or shear stresses. Since cortical bone is weak in shear [3],
mum tension. This fracture pattern is similar to spiral frac- particularly in the longitudinal plane, shear fatigue of bone
tures caused by torsion. Shear strength along the bone axis may be a key factor in stress fracture pathogenesis. Yet
was 51.6 MPa or about 35% less than that determined using
torsion tests. Fatigue tests of human cortical bone in pure there are no data available to test this possibility since the
shear were conducted. The results agreed well with previous fatigue properties of cortical bone in shear fatigue have not
measurements of cortical bone fatigue life in tension and been measured.
compression, when normalized to strength. Using tibial In previous studies, shear strength has been inferred
shear strain magnitudes measured previously for human from torsion tests applied to specimens of cortical bone. As
volunteers, we estimated the fatigue life of cortical bone for
different activities, and speculate that shear fatigue failure is noted above, torsion often causes tensile failure in bone,
a probable cause of tibial stress fractures resulting from rather than shear. An alternative to the torsion test is pure
impact loading. shear testing following protocols designed for composite
material testing. Additionally, pure shear testing can be used
Key words: Torsion — Human cortical bone — Shear fa- to determine the response of cortical bone to cyclic fatigue
tigue failure
loading in shear, a property of bone that has not been stud-
ied.
We measured shear strength of human cortical bone in
During normal activities, bone tissue is subjected to tensile, the longitudinal and transverse planes using the Iosipescu
compressive, and shear stresses. Usually shear stress mag- [4] and Arcan et al. [5] pure shear testing protocols. In
nitudes are relatively small, but can become substantial in addition, we conducted fatigue tests in pure shear.
long bones subjected to torsion. Severe torsion can result in
long bone fracture. Fracture surfaces produced by torsional
loads are helical [1], creating a spiral fracture. Torsional Methods
loading creates both transverse and longitudinal shear
Bone Specimens
stresses in the bone as well as tensile and compressive
stresses 45° from the shear direction (Fig. 1a). Bone will fail Cortical bone specimens were obtained from the midshafts of hu-
along the plane in which it is weakest. Often this fracture man femora from three males (63, 72, and 74 years old) and two
plane coincides with the maximum tensile stresses, which in females (71 and 83 years old). These bones were stored at −20°C
until the time of testing.
the case of torsional loading, falls along a helical plane 45°
from the long axis (the maximum compressive stress runs
along a perpendicular helical plane, see Fig. 1b), suggesting Pure Shear Tests
that torsion causes bone to fail in tension rather than shear.
Shearing tests were conducted using the Iosipescu [4] and Arcan et
When bone is subjected to cyclical loading, microdam- al. [5] pure shear protocols (Fig. 2). Before the shear testing, we
conducted finite element analyses to confirm that the tests pro-
duced pure shear stress in the test specimens. All the analyses were
done using Sun SPARCstation (Sun Microsystems, Inc.). Patran
Correspondence to: C. H. Turner 2.5 (PDA Engineering) was used to create geometry and mesh and
374 C. H. Turner et al.: Shear Strength of Cortical Bone
Fig. 1. (a) Torsional loading causes shear stress along and trans-
verse to the long axis of the bone (indicated by stripes). Tensile
stress is maximum in a plane +45° from the long axis and maxi-
mum compressive stress occurs at −45°. (b) Torsional loading
applied to a bone causes compressive stress (A) and tensile stress
(B) in perpendicular helical planes 45° from the long axis. This is
analogous to the effect of twisting a cardboard tube. If twisted in
the correct direction, the tube will come apart along the helical
seam, the result of tensile stresses created across the seam.
Abaqus 5.5 (Hibbitt, Karlsson & Sorensen, Inc.) was used to ana-
lyze the models. The Arcan and Iosipescu tests were analyzed Fig. 2. (a) Iosipescu and (b) Arcan test methods for producing
using 8-node quadratic quadrilateral elements with 3574 and 1646 pure shear stresses in composite materials. The shaded region in
degrees of freedom, respectively. Bone was modeled as an isotro- (a) is under pure shear when a force F is applied. Iosipescu speci-
pic material with a Young’s modulus of 20 GPa and a Poisson’s mens are typically four times longer than they are wide with 90°
ratio of 0.3. Shear stress and principle stress angle were calculated notches in the center and a specimen thickness of at least 2.5 mm.
in the critical test region (shaded region in Fig. 2; this region For Arcan test specimens, the width of the test region is denoted h.
comprised 32 elements for the Arcan analysis and 20 elements for It is important that the notches have fillets otherwise stress con-
the Iosipescu analysis). centrations can be created which will cause premature failure of
Shear tests were performed on longitudinal test specimens, in the test specimen. From Turner C H., Burr D B. Bone 14:595–608,
which shearing occurred transverse to the long axis (transverse 1993. Used with permission from Elsevier Science.
shear), or on transverse test specimens where shearing was parallel
to the long axis (longitudinal shear). The Iosipescu test configu- Testing was done at room temperature. Ultimate load was mea-
ration was used for transverse shear tests, but size requirements sured for each specimen.
dictated that the Arcan configuration be used for longitudinal shear For both the Arcan and Iosipescu tests, shear stress in the test
tests because of the degree of radial curvature of the bone. For region was calculated as ⳱ F/ht. where F is the applied force, h
transverse shear tests, 6–7 cm sections from the femoral mid- is the height of the critical section (Fig. 2), and t is the specimen
diaphysis were cut into four quadrants. A milling machine (EMCO thickness.
Maximat Super 11, EMCO Maier Co, Columbus, OH) was used to
cut a rectangular piece (40 × 10 × 3 mm) from each quadrant, with
its long axis parallel to the femoral long axis. Two V-shaped Fatigue Tests
notches of 90° and 3 mm depth were cut using a milling machine
with a custom-made end mill cutter with a 0.5 mm tip radius (Fig. Five longitudinal shear specimens were made from each femur (for
3). The specimens (n ⳱ 11) were tested at room temperature (22 a total of 25). One specimen from each femur was loaded to
± 2 °C). The test apparatus was custom-made according to the fracture to determine the ultimate longitudinal shear stress. Then
specifications of Iosipescu et al. [4]. Specimens were loaded to the remaining four specimens were tested under cyclic load with
fracture in pure shear at a rate of 1 mm/sec using a servohydraulic peak load levels that created shear stresses that were 60%, 70%,
test system (MTS 810, MTS Systems Co., Eden Prairie, MN). A 80%, and 90% of the ultimate longitudinal shear stress. Tests were
plotter (HP 7090A, Hewlett Packard, Palo Alto) recorded the ul- performed using an apparatus according to the specification de-
timate loads. scribed by Arcan et al. [5] Universal joints were used to prevent
For longitudinal shear tests, a group of three to four specimens bending and torsion on the specimen. A haversine load waveform
were machined from each quadrant of the femoral cortex. These was applied to the specimen using the MTS servohydraulic testing
specimens (n ⳱ 14) came from the same mid-diaphyseal sections machine, with a frequency of 2 Hz. Specimens were kept wet by
as were used for the transverse shear tests. From the diaphyseal dripping 37°C physiological saline over them throughout the tests.
bone, a rectangular piece was machined to 10 mm × 10 mm × 3 Fatigue failure is defined as the complete fracture of the specimen.
mm, 90° notches 2.5 mm in depth were cut using the end mill
cutter described above (Fig. 3), and the test region of the specimen Results
was milled to a 1.5 mm thickness. Each specimen was mounted
into an aluminum grip and loaded as specified by Arcan et al. [5]. Finite element analyses confirmed that both the Arcan and
C. H. Turner et al.: Shear Strength of Cortical Bone 375
Table 2. Previous fatigue studies used for comparison with shear fatigue data
Reference Bone type Test type Temperature Frequency (Hz)
King and Evans [11] Embalmed human Reversed flexural Room temperature 30
Swanson et al. [12] Human Rotating bending Room temperature 70
Gray and Korbacher [13] Bovine Uniaxial compression Room temperature 30
Carter et al. [14] Bovine Rotating bending 37°C 125
Lafferty and Raju [15] Bovine Rotating bending 21°C 30
Carter et al. [16] Human Uniaxial reversed 37°C 0.5–1.0
Pattin et al. [17] Human Uniaxial compression 37°C 2
Pattin et al. [17] Human Uniaxial tension 37°C 2
Current study Human Pure shear 37°Ca 2
a
37°C saline was dripped on the specimens during the test
Table 3. Measured tibial strains in human volunteers participating in different activities [22,
23]
Activity Peak strain Predicted time to failure
Comp. Tensile Shear Comp. Tensile Shear
8 8
Cycling [23] 291 271 628 >10 >10 >108
Walking [22] 544 437 871 >108 >108 >108
Jogging [22] 879 625 1444 >108 >108 >108
Running Sprint [22] 968 646 1583 >108 >108 >108
Zigzag running Uphill [23] 1226 743 1966 5.9 × 107 >108 >108
Running 17 km/h [23] 1675 1378 5027 5.4 × 106 >108 9.0 × 103
a
The number of loading cycles until failure were estimated based upon the current results
(shear) or the results from Pattin et al. [17] for tension or compression. Strains are in units of
microstrain The stress fatigue data from Pattin et al. [17] were converted to strains by dividing
by the Young’s modulus of human femoral bone (20 GPa [6])
Acknowledgments. This work was supported by USPHS Research (ed) Digest of the Seventh International Conference on Medi-
Grants P01-AG05793 and R01-AR43730 from the National Insti- cal and Biological Engineering. , Stockholm, pp 514
tute of Aging and the National Institute of Arthritis, Musculoskel- 12. Swanson SAV, Freeman MAR, Day WH (1971) The fatigue
etal and Skin Diseases. properties of human cortical bone. Med Biol Eng 9:23–32
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