The tensile properties of the supraspinatus tendon were investigated i
n 11 shoulders from fresh cadavers. The tendon was divided into three
longitudinal strips: anterior, middle, and posterior. Each specimen wa
s mounted on a materials testing machine, with four fluorescent marker
s placed on both surfaces of the tendon strip. The positions of these
markers were recorded during the test by two synchronized video camera
s. Load-deformation and strain curves were determined, and the stress-
strain curve, strength, and modulus of elasticity were calculated, The
posterior strip was thinner in cross section than the others (p = 0.0
355). The ultimate load and ultimate stress were significantly greater
in the anterior strip (16.5 +/- 7.1 MPa) than in the middle (6.0 +/-
2.6 MPa) and posterior (4.1 +/- 1.3 MPa) strips (p < 0.0001), The modu
lus of elasticity also was significantly greater in the anterior strip
(p < 0.0001), but there was no significant difference between the sup
erficial and deep surfaces. It is concluded that the anterior portion
of the supraspinatus tendon is mechanically stronger than the other po
rtions and it seems to perform the main functional role of the tendon.