Ka. Athanasiou et al., BIOMECHANICAL TOPOGRAPHY OF HUMAN ARTICULAR-CARTILAGE IN THE FIRST METATARSOPHALANGEAL JOINT, Clinical orthopaedics and related research, (348), 1998, pp. 269-281
The objective of this study was to provide a map of cartilage biomecha
nical properties, thickness, and histomorphometric characteristics in
the human, cadaveric first metatarsophangeal joint, to determine if no
rmal articular cartilage was predisposed topographically to biomechani
cal mismatches in articulating surfaces. Cartilage intrinsic material
properties and thickness were obtained from seven pairs of human, fres
hly frozen, cadaveric, metatarsophalangeal joints using an automated c
reep indentation apparatus under conditions of biphasic creep. Eight s
ites were tested: four on the metatarsal head, two on the proximal pha
lanx base, and one on each sesamoid bone to obtain the aggregate modul
us, Poisson's ratio, permeability, shear modulus, and thickness. Carti
lage in the lateral phalanx site of the left metatarsal head had the l
argest aggregate modulus (1.34 MPa), whereas the softest tissue was fo
und in the right medial sesamoid (0.63 MPa). The medial phalanx region
of the right joint was the most permeable (4.56 x 10(-15) meter(4)/Ne
wton.second), whereas the medial sesamoid articulation of the metatars
al head of the left joint was the least permeable (1.26 x 10(-15) mete
r(4)/Newton.second). Material properties and thickness are indicative
of the tissue's functional environment. The lack of mismatches in cart
ilage biomechanical properties of the articulating surfaces found in t
his study may be supportive of clinical observations that early degene
rative changes, in the absence of traumatic events, do not occur at th
e selected test sites in the human first metatarsophalangeal joint.