The ultrasound velocity and attenuation were examined in 16 sets of human p
atellae. The average ultrasound velocity of patella was shown to be greater
in the superior/inferior direction than in the anterior/posterior and medi
al/lateral directions. The distribution of bone mineral density (BMD) was a
lso examined. The BMD of the patella varied with location. BMD values were
largest at the superior and lateral regions and decreased inferiorly and me
dially. A two-dimensional finite element analysis was performed on each pat
ella. The maximum von Mises stress occurred along the cortical shell on the
non-articular surface. The trabecular von Mises stress existed in the post
erior region of the patella. Correlation study showed that patellar BMD was
significantly associated with each of three directional ultrasound velocit
ies. The relationship between BMD and ultrasound attenuation was not signif
icant. It was also found that the ultrasound velocity and attenuation were
not significantly correlated with the maximum von Mises stress. (C) 1999 IP
EM. Published by Elsevier Science Ltd. All rights reserved.