The statistical distribution of von Mises stress in the trabeculae of human
vertebral cancellous bone was estimated using large-scale finite element m
odels. The goal was to test the hypothesis that average trabecular von Mise
s stress is correlated to the maximum trabecular level von Mises stress, Th
e hypothesis was proposed to explain the close experimental correlation bet
ween apparent strength and stiffness of human cancellous bone tissue. A thr
ee-parameter Weibull function described the probability distribution of the
estimated von Mises stress (r(2)>0.99 for each of 23 cases). The mean von
Mises stress was linearly related to the standard deviation (r(2)=0.63) sup
porting the hypothesis that average and maximum magnitude stress would be c
orrelated. The coefficient of variation (COV) of the von Mises stress was n
onlinearly related to apparent compressive strength, apparent stiffness, an
d bone volume fraction (adjusted r(2)=0.66, 0.56, 0.54, respectively) by a
saturating exponential function [COV=A+B exp(-x/C)]. The COV of the stress
was higher for low volume fraction tissue (<0.12) consistent with the weakn
ess of low volume fraction tissue and suggesting that stress variation is b
etter controlled in higher volume fraction tissue. We propose that the aver
age stress and standard deviation of the stress are both controlled by bone
remodeling in response to applied loading. (C) 2000 Biomedical Engineering
Society. [S0090-6964(00)00910-3].