Evidence map›Paper›PMID 27161959›Full record

ArticleJournal of the mechanical behavior of biomedical materials2016

The concentration of stress at the rotator cuff tendon-to-bone attachment site is conserved across species.

Fatemeh Saadat, Alix C Deymier, Victor Birman, Stavros Thomopoulos, Guy M Genin

Abstract read
In one paragraph

Article in Journal of the mechanical behavior of biomedical materials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Shaping the mechanical properties of a gelatin hydrogel interface via amination.Journal of the mechanical behavior of biomedical materials · 2026
    Article
  2. Achieving tendon enthesis regeneration across length scales.Current opinion in biomedical engineering · 2024
    Article
  3. Review
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  5. Review
  6. Muscle degeneration in chronic massive rotator cuff tears of the shoulder: Addressing the real problem using a graphene matrix.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  7. Article
  8. Review
  9. Review
  10. Article
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  15. Review
  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Fatemeh SaadatDepartment of Mechanical Engineering & Materials Science, Washington University, St. Louis, MO 63130, USA.
Alix C DeymierDepartment of Orthopaedic Surgery, Columbia University, New York, NY 10032, USA.
Victor BirmanMissouri S&T Global - St. Louis, Missouri University of Science and Technology, St. Louis, MO 63131, USA.
Stavros ThomopoulosDepartment of Orthopaedic Surgery, Department of Biomedical Engineering, Columbia University, New York, NY 10032, USA. Electronic address: sat2@cumc.columbia.edu.
Guy M GeninDepartment of Mechanical Engineering & Materials Science, Washington University, St. Louis, MO 63130, USA. Electronic address: genin@wustl.edu.

Funding

Tendon Enthesis Development and RegenerationR01AR055580 · NIAMS · WASHINGTON UNIVERSITY · PI THOMOPOULOS, STAVROS · 2009 to 2019
$4.0M
Cross-scale interactions between mineral and collagen for tendon-bone attachmentU01EB016422 · NIBIB · WASHINGTON UNIVERSITY · PI GENIN, GUY M, THOMOPOULOS, STAVROS · 2013 to 2017
$2.4M
NIAMS NIH HHS R01 AR055580NIBIB NIH HHS U01 EB016422
6 · The paper itself

Abstract

The tendon-to-bone attachment site integrates two distinct tissues via a gradual transition in composition, mechanical properties, and structure. Outcomes of surgical repair are poor, in part because surgical repair does not recreate the natural attachment, and in part because the mechanical features that are most critical to mechanical and physiological functions have not been identified. We employed allometric analysis to resolve a paradox about how the architecture of the rotator cuff contributes to load transfer: whereas published data suggest that the mean muscle stresses expected at the tendon-to-bone attachment are conserved across species, data also show that the relative dimensions of key anatomical features vary dramatically, suggesting that the amplification of stresses at the interface between tendon and bone should also vary widely. However, a mechanical model that enabled a sensitivity analysis revealed that the degree of stress concentration was in fact highly conserved across species: the factors that most affected stress amplification were most highly conserved across species, while those that had a lower effect showed broad variation across a range of relative insensitivity. Results highlight how micromechanical factors can influence structure-function relationships and cross-species scaling over several orders of magnitude in animal size, and provide guidance on physiological features to emphasize in surgical and tissue engineered repair of the rotator cuff.

Indexed as

Stress, MechanicalAnimalsBone and BonesModels, BiologicalOrthopedic ProceduresRotator CuffRotator Cuff InjuriesTendon InjuriesTendonsAllometryFunctionally graded attachmentStress concentrationTendon-to-bone attachment

Identifiers

PMID27161959
PMCPMC4955721

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.