Analytical models that predict modulus degradation in cortical bone su
bjected to uniaxial fatigue loading in tension and compression are pre
sented. On the basis of experimental observations, damage was modeled
as self-limiting for tension but not for compression. These mechanisti
c uniaxial damage models were then developed into a model for flexural
fatigue of cortical bone based on laminated beam theory. The unknown
coefficients in the uniaxial damage models were obtained by successful
ly fitting the resulting equations to uniaxial fatigue data from the l
iterature on human cortical bone in tension and compression. Then, the
predictions of the flexural model for the behavior of human cortical
bone were compared with experimental results from a small but independ
ent set of specimens tested at three different ranges of load in our l
aboratory. The behavior of the modulus degradation curves and the flex
ural fatigue lives of the specimens were in excellent agreement with t
he predictions of the model.