Local adaptation of bone micro-structure and canal network to tendon insertion investigated by image-based micro-FE simulations

摘要

Tendons anchor to bone through a multi-material region called enthesis, showing several strategies to cope with the challenging task of joining dissimilar tissues. Less understood is whether bone microstructure also displays specific features to facilitate force transmission from tendon to bone. Such knowledge is of clinical relevance as local mechanical stresses play a crucial role in avulsion fractures and interface pathologies.