Stress distribution in the humerus during elevation of the arm and external abduction.

Abstract

The purpose of this study is to estimate stress distribution occurring in the humerus during elevation and external rotation of the arm.Methods: contact forces and moments were estimated using telemeterized shoulder implants. An accurate three-dimensional (3D) finite element (FE) model of the natural scapula was developed, and loaded by data obtained by instrumented prosthesis. Stresses of about 40 MPa were found on the homerus during the elevation phase acting at 30° and 80°, while a peak of 60 MPa was found during the external rotation phase at 20°. The stress aging on scapula was of about 45 MPa, while the acromion was subjected at about 30 MPa. Stresses aging on ligaments were of about 15 MPa. These results indicated that the transfer of major muscle and joint reaction take place predominantly through the thick bony ridges, and stresses induced can be dangerous especially for patients with shoulder problems or during the first post-operative weeks after shoulder fractures or joint replacements.