The effects of tensile-compressive loading mode and microarchitecture on microdamage in human vertebral cancellous bone
Open accessAbstract
The amount of microdamage in bone tissue impairs mechanical performance and may act as a stimulus for bone remodeling. Here we determine how loading mode (tension vs. compression) and microstructure (trabecular microarchitecture, local trabecular thickness, and presence of resorption cavities) influence the number and volume of microdamage sites generated in cancellous bone following a single overload. Twenty paired cylindrical specimens of human vertebral cancellous bone from 10 donors (47–78 years) were mechanically loaded to apparent yield in either compression or tension, and imaged in three dimensions for microarchitecture and microdamage (voxel size 0.7×0.7×5.0 μm3). We found that the overall proportion of damaged tissue was greater (p=0.01) for apparent tension loading (3.9±2.4%, mean±SD) than for apparent compression loading (1.9±1.3%). Individual microdamage sites generated in tension were larger in volume (p<0.001) but not more numerous (p=0.64) than sites in compression. For both loading modes, the proportion of damaged tissue varied more across donors than with bone volume fraction, traditional measures of microarchitecture (trabecular thickness, trabecular separation, etc.), apparent Young׳s modulus, or strength. Microdamage tended to occur in regions of greater trabecular thickness but not near observable resorption cavities. Taken together, these findings indicate that, regardless of loading mode, accumulation of microdamage in cancellous bone after monotonic loading to yield is influenced by donor characteristics other than traditional measures of microarchitecture, suggesting a possible role for tissue material properties.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
More microdamage is found in regions with low volume fraction and high SMI, indicating a predominance of trabecular rods.
“For example, more microdamage is found in regions with low volume fraction and high SMI—indicating a predominance of trabecular rods (110, 111).”
From Bone Mechanical Properties in Healthy and Diseased States (2018) · cites this paper as [110]
The Results report more microdamage in specimens with lower bone volume fraction and higher SMI, consistent with a more rod-like structure—but only under compressive loading. The claim describes regions without that loading qualification; the paper measured these associations across whole specimens and found no corresponding bone-volume-fraction association under tensile loading. (LLM, conf=0.88)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Biomechanics of Trabecular Bone
Keaveny, T. M., Morgan, E. F., Niebur, G. L., & Yeh, O. C. (2001) · Annual Review of Biomedical Engineering · doi:10.1146/annurev.bioeng.3.1.307 · Cited by 807 · see citing works
Self-citationBone Microdamage and Skeletal Fragility in Osteoporotic and Stress Fractures
Burr, D. B., Forwood, M. R., Fyhrie, D. P., Martin, R. B., Schaffler, M. B., & Turner, C. H. (1997) · Journal of Bone and Mineral Research · doi:10.1359/jbmr.1997.12.1.6 · Cited by 685 · see citing works
Increased intracortical remodeling following fatigue damage
Mori, S., & Burr, D. B. (1993) · Bone · doi:10.1016/8756-3282(93)90235-3 · Cited by 561 · see citing works
Silva, M. J., & Gibson, L. J. (1997) · Bone · doi:10.1016/s8756-3282(97)00100-2 · Cited by 355 · see citing works
A biomechanical perspective on bone quality
Hernandez, C. J., & Keaveny, T. M. (2006) · Bone · doi:10.1016/j.bone.2006.06.001 · Cited by 321 · see citing works
Self-citationMethods for Assessing Bone Quality: A Review
Donnelly, E. L. (2010) · Clinical Orthopaedics and Related Research · doi:10.1007/s11999-010-1702-0 · Cited by 302 · see citing works
Lewis, G., & Nyman, J. S. (2008) · Journal of Biomedical Materials Research Part B Applied Biomaterials · doi:10.1002/jbm.b.31092 · Cited by 165 · see citing works
In vivo diffuse damage in human vertebral trabecular bone
Vashishth, D., Koontz, J., Qiu, S. J., Lundin-Cannon, D., Yeni, Y. N., Schaffler, M. B., & Fyhrie, D. P. (2000) · Bone · doi:10.1016/s8756-3282(99)00253-7 · Cited by 162 · see citing works
Herman, B. C., Cardoso, L., Majeska, R. J., Jepsen, K. J., & Schaffler, M. B. (2010) · Bone · doi:10.1016/j.bone.2010.07.006 · Cited by 159 · see citing works
Bevill, G. R., Eswaran, S. K., Gupta, A. K., Papadopoulos, P., & Keaveny, T. M. (2006) · Bone · doi:10.1016/j.bone.2006.06.016 · Cited by 148 · see citing works
Self-citationNon-enzymatic glycation alters microdamage formation in human cancellous bone
Tang, S. Y., & Vashishth, D. (2009) · Bone · doi:10.1016/j.bone.2009.09.003 · Cited by 128 · see citing works
Zimmermann, E. A., Launey, M. E., & Ritchie, R. O. (2010) · Biomaterials · doi:10.1016/j.biomaterials.2010.03.056 · Cited by 127 · see citing works
Mechanisms of uniformity of yield strains for trabecular bone
Bayraktar, H. H., & Keaveny, T. M. (2004) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2004.02.045 · Cited by 112 · see citing works
Self-citationMicrodamage Accumulation in Bovine Trabecular Bone in Uniaxial Compression
Moore, T. L. A., & Gibson, L. J. (2001) · Journal of Biomechanical Engineering · doi:10.1115/1.1428745 · Cited by 103 · see citing works
Heterogeneous Glycation of Cancellous Bone and Its Association with Bone Quality and Fragility
Karim, L., & Vashishth, D. (2012) · PLoS ONE · doi:10.1371/journal.pone.0035047 · Cited by 100 · see citing works
Atomic force microscopy and indentation force measurement of bone
Thurner, P. J. (2009) · Wiley Interdisciplinary Reviews Nanomedicine and Nanobiotechnology · doi:10.1002/wnan.56 · Cited by 97 · see citing works
Dependence of trabecular damage on mechanical strain
Wachtel, E. F., & Keaveny, T. M. (1997) · Journal of Orthopaedic Research® · doi:10.1002/jor.1100150522 · Cited by 95 · see citing works
Self-citationRelative roles of microdamage and microfracture in the mechanical behavior of trabecular bone
Yeh, O. C., & Keaveny, T. M. (2001) · Journal of Orthopaedic Research® · doi:10.1016/s0736-0266(01)00053-5 · Cited by 94 · see citing works
Self-citationMicroarchitecture Influences Microdamage Accumulation in Human Vertebral Trabecular Bone
Arlot, M. E., Burt-Pichat, B., Roux, J.-P., Vashishth, D., Bouxsein, M. L., & Delmas, P. D. (2008) · Journal of Bone and Mineral Research · doi:10.1359/jbmr.080517 · Cited by 89 · see citing works
Lambers, F. M., Bouman, A. R., Rimnac, C. M., & Hernandez, C. J. (2013) · PLoS ONE · doi:10.1371/journal.pone.0083662 · Cited by 86 · see citing works
Self-citationShear strength behavior of human trabecular bone
Sanyal, A., Gupta, A. K., Bayraktar, H. H., Kwon, R. Y., & Keaveny, T. M. (2012) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2012.07.023 · Cited by 85 · see citing works
Self-citationEffects of trabecular type and orientation on microdamage susceptibility in trabecular bone
Shi, X., Liu, X. S., Wang, X., Guo, X.-D. E., & Niebur, G. L. (2010) · Bone · doi:10.1016/j.bone.2010.02.005 · Cited by 64 · see citing works
Microdamage propagation in trabecular bone due to changes in loading mode
Wang, X., & Niebur, G. L. (2005) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2005.02.007 · Cited by 60 · see citing works
Tang, S. Y., & Vashishth, D. (2007) · Bone · doi:10.1016/j.bone.2006.10.031 · Cited by 59 · see citing works
Karim, L., & Vashishth, D. (2011) · Journal of Orthopaedic Research® · doi:10.1002/jor.21448 · Cited by 57 · see citing works
Local strain and damage mapping in single trabeculae during three-point bending tests
Jungmann, R., Szabo, M. E., Schitter, G., Yue-Sing Tang, R., Vashishth, D., Hansma, P. K., & Thurner, P. J. (2011) · Journal of the Mechanical Behavior of Biomedical Materials · doi:10.1016/j.jmbbm.2010.12.009 · Cited by 57 · see citing works
Bevill, G. R., Eswaran, S. K., Farahmand, F., & Keaveny, T. M. (2008) · Bone · doi:10.1016/j.bone.2008.11.015 · Cited by 57 · see citing works
Self-citationQuantitative relationships between microdamage and cancellous bone strength and stiffness
Hernandez, C. J., Lambers, F. M., Widjaja, J., Chapa, C., & Rimnac, C. M. (2014) · Bone · doi:10.1016/j.bone.2014.05.023 · Cited by 56 · see citing works
Self-citationFatigue Microdamage in Bovine Trabecular Bone
Moore, T. L. A., & Gibson, L. J. (2003) · Journal of Biomechanical Engineering · doi:10.1115/1.1631584 · Cited by 47 · see citing works
Visualization of a phantom post-yield deformation process in cortical bone
Sun, X., Jeon, J. H., Blendell, J. E., & Akkuş, O. (2010) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2010.03.011 · Cited by 40 · see citing works
Green, J. O., Nagaraja, S., Diab, T., Vidaković, B., & Guldberg, R. E. (2011) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2011.05.034 · Cited by 38 · see citing works
Slyfield, C. R., Tkachenko, E. V., Fischer, S. E., Ehlert, K. M., Yi, I. H., Jekir, M. G., OʼBrien, R. G., Keaveny, T. M., & Hernandez, C. J. (2012) · Bone · doi:10.1016/j.bone.2012.02.636 · Cited by 31 · see citing works
Self-citationWu, Z., LaNeve, A. J., & Niebur, G. L. (2013) · Bone · doi:10.1016/j.bone.2013.02.019 · Cited by 29 · see citing works
Axial-shear interaction effects on microdamage in bovine tibial trabecular bone
Wang, X., Guyette, J. P., Liu, X., Roeder, R. K., & Niebur, G. L. (2005) · European Journal of Morphology · doi:10.1080/09243860500095570 · Cited by 28 · see citing works
Slyfield, C. R., Niemeyer, K. E., Tkachenko, E. V., Tomlinson, R. E., Steyer, G. J., Patthanacharoenphon, C., Kazakia, G. J., Wilson, D. L., & Hernandez, C. J. (2009) · Journal of Microscopy · doi:10.1111/j.1365-2818.2009.03204.x · Cited by 26 · see citing works
Self-citationDeterminants of Microdamage in Elderly Human Vertebral Trabecular Bone
Follet, H., Farlay, D., Bala, Y., Viguet‐Carrin, S., Gineyts, É., Burt‐Pichat, B., Wegrzyn, J., Delmas, P. D., Boivin, G., & Chapurlat, R. D. (2013) · PLoS ONE · doi:10.1371/journal.pone.0055232 · Cited by 26 · see citing works
Tkachenko, E. V., Slyfield, C. R., Tomlinson, R. E., Daggett, J. R., Wilson, D. L., & Hernandez, C. J. (2009) · Bone · doi:10.1016/j.bone.2009.05.019 · Cited by 24 · see citing works
Self-citationValidity of serial milling-based imaging system for microdamage quantification
Bigley, R. F., Singh, M., Hernandez, C. J., Kazakia, G. J., Martin, R. B., & Keaveny, T. M. (2007) · Bone · doi:10.1016/j.bone.2007.09.043 · Cited by 13 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 1
- Wachtel EF Keaveny TM Dependence of trabecular damage on mechanical strain J Orthop Res 1997b 15 781 787 9420610
Cited by
Sorted by citations
Bone Mechanical Properties in Healthy and Diseased States
Morgan, E. F., Unnikrisnan, G. U., & Hussein, A. I. (2018) · Annual Review of Biomedical Engineering · doi:10.1146/annurev-bioeng-062117-121139 · Cited by 1,026 · see citing works
“For example, more microdamage is found in regions with low volume fraction and high SMI—indicating a predominance of trabecular rods (110, 111).”
Yu, G., Li, Z., Li, S., Zhang, Q., Hua, Y., Liu, H., Zhao, X., Dhaidhai, D. T., Li, W., & Wang, X. (2020) · Materials & Design · doi:10.1016/j.matdes.2020.108754 · Cited by 165 · see citing works
Standardizing compression testing for measuring the stiffness of human bone
Zhao, S., Arnold, M. C. A., Ma, S., Abel, R., Cobb, J. P., Hansen, U., & Boughton, O. R. (2018) · Bone and Joint Research · doi:10.1302/2046-3758.78.bjr-2018-0025.r1 · Cited by 122 · see citing works
Bone marrow lesions in osteoarthritis: What lies beneath
Alliston, T. N., Hernandez, C. J., Findlay, D. M., Felson, D. T., & Kennedy, O. D. (2017) · Journal of Orthopaedic Research® · doi:10.1002/jor.23844 · Cited by 87 · see citing works
Self-citationRen, L. M., Yang, P., Wang, Z., Zhang, J., Ding, C., & Shang, P. (2015) · Journal of the mechanical behavior of biomedical materials/Journal of mechanical behavior of biomedical materials · doi:10.1016/j.jmbbm.2015.04.021 · Cited by 69 · see citing works
Berke, I. M., Miola, J. P., David, M. A., Smith, M. K., & Price, C. (2016) · PLoS ONE · doi:10.1371/journal.pone.0150268 · Cited by 56 · see citing works
Levrero-Florencio, F., Margetts, L., Sales, E., Xie, S., Manda, K., & Pankaj, P. (2016) · Journal of the Mechanical Behavior of Biomedical Materials · doi:10.1016/j.jmbbm.2016.04.008 · Cited by 46 · see citing works
Diuretic Use and Risk of Vertebral Fracture in Women
Paik, J. M., Rosen, H. N., Gordon, C. M., & Curhan, G. C. (2016) · The American Journal of Medicine · doi:10.1016/j.amjmed.2016.07.013 · Cited by 39 · see citing works
Li, Z., Chen, Z., Chen, D., & Zhao, R. (2022) · ACS Biomaterials Science & Engineering · doi:10.1021/acsbiomaterials.1c01438 · Cited by 37 · see citing works
Biomechanical properties and clinical significance of cancellous bone in proximal femur: A review
Wang, H., Zhang, Y., Ren, C., Ding, K., Zhang, Q., Zhu, Y., & Chen, W. (2023) · Injury · doi:10.1016/j.injury.2023.03.010 · Cited by 36 · see citing works
Obstructive Sleep Apnea and Risk for Incident Vertebral and Hip Fracture in Women
Huang, T., Tworoger, S. S., Redline, S. S., Curhan, G. C., & Paik, J. M. (2020) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.4127 · Cited by 33 · see citing works
Goff, M. G., Lambers, F. M., Nguyen, T. M., Sung, J., Rimnac, C. M., & Hernandez, C. J. (2015) · Bone · doi:10.1016/j.bone.2015.05.020 · Cited by 31 · see citing works
Self-citationStructural strength of cancellous specimens from bovine femur under cyclic compression
Endo, K., Yamada, S., Masahiro Todoh, A., Takahata, M., Iwasaki, N., & TADANO, S. (2016) · PeerJ · doi:10.7717/peerj.1562 · Cited by 21 · see citing works
Goff, M. G., Lambers, F. M., Sorna, R. M., Keaveny, T. M., & Hernandez, C. J. (2015) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2015.10.023 · Cited by 20 · see citing works
Self-citationFatigue evaluation of long cortical bone using ultrasonic guided waves
Bai, L., Xu, K., Li, D., Ta, D., Le, L. H., & Wang, W. (2018) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2018.06.015 · Cited by 18 · see citing works
Sacher, S. E., Hunt, H. B., Lekkala, S., Lopez, K. A., Potts, J., Heilbronner, A. K., Stein, E. M., Hernandez, C. J., & Donnelly, E. L. (2020) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.4509 · Cited by 16 · see citing works
Self-citationBone Mechanical Function and the Gut Microbiota
Hernandez, C. J. (2017) · Advances in experimental medicine and biology · doi:10.1007/978-3-319-66653-2_12 · Cited by 13 · see citing works
Self-citationThe roles of architecture and estrogen depletion in microdamage risk in trabecular bone
Kreipke, T. C., Garrison, J. G., Easley, J. T., Turner, A. S., & Niebur, G. L. (2016) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2016.08.009 · Cited by 11 · see citing works
Self-reported sleep characteristics and risk for incident vertebral and hip fracture in women
Huang, T., Redline, S. S., Gordon, C. M., Schernhammer, E. S., Curhan, G. C., & Paik, J. M. (2022) · Sleep Health · doi:10.1016/j.sleh.2021.11.011 · Cited by 10 · see citing works
Effect of including damage at the tissue level in the nonlinear homogenisation of trabecular bone
Levrero-Florencio, F., Manda, K., Margetts, L., & Pankaj, P. (2017) · Biomechanics and Modeling in Mechanobiology · doi:10.1007/s10237-017-0913-7 · Cited by 10 · see citing works
Effects of loading rate, age, and morphology on the material properties of human rib trabecular bone
Albert, D. L., Katzenberger, M. J., Hunter, R. L., Agnew, A. M., & Kemper, A. R. (2023) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2023.111670 · Cited by 8 · see citing works
Levrero-Florencio, F., & Pankaj, P. (2018) · Frontiers in Physiology · doi:10.3389/fphys.2018.00545 · Cited by 8 · see citing works
Microdamage in biological hard tissues and its repair mechanisms
Cao, X.-J., Xiao, S., Shen, C., & Fan, Y. (2025) · BioMedical Engineering OnLine · doi:10.1186/s12938-025-01423-3 · Cited by 7 · see citing works
Vecchis, R. D., Ariano, C., Biase, G. D., & Noutsias, M. (2017) · Journal of Clinical Medicine Research · doi:10.14740/jocmr3193w · Cited by 7 · see citing works
Zehr, J. D., Rahman, F. A., Callaghan, J. P., & Quadrilatero, J. (2022) · Cell and Tissue Research · doi:10.1007/s00441-022-03649-2 · Cited by 7 · see citing works
Kim, J., & Kim, J. J. (2024) · International Journal for Numerical Methods in Biomedical Engineering · doi:10.1002/cnm.3845 · Cited by 4 · see citing works
A 50‐year perspective on the use and potential of artiodactyl calcanei in bone adaptation studies
Skedros, J. G. (2025) · Biological reviews/Biological reviews of the Cambridge Philosophical Society · doi:10.1111/brv.70089 · Cited by 2 · see citing works
Tolgyesi, A., Robert, N., Whyne, C. M., & Hardisty, M. (2023) · Applied Sciences · doi:10.3390/app13063625 · Cited by 2 · see citing works
Mechanical and morphometric characterization of cancellous bone
González, R. B. (2020) · doi:10.4995/thesis/10251/149376 · Cited by 2 · see citing works
Prot, M., Dubois, G. J. R., Cloete, T. J., Saletti, D., & Laporte, S. (2015) · Computer Methods in Biomechanics & Biomedical Engineering · doi:10.1080/10255842.2015.1069608 · Cited by 1 · see citing works
Assessment of cortical bone fatigue using coded nonlinear ultrasound*
Liu, D., Li, B., Bi, D., Tran, T. N. H. T., Li, Y., Liu, D., Li, Y., & Ta, D. (2021) · Chinese Physics B · doi:10.1088/1674-1056/ac0db2 · Cited by 1 · see citing works
Zaytsev, D., Васильевич, Г. М., & Izmodenova, M. Y. (2020) · Russian Metallurgy (Metally) · doi:10.1134/s0036029520040369 · Cited by 1 · see citing works
QCT-based computational bone strength assessment updated with MRI-derived ‘hidden’ microporosity
McPhee, S., Kershaw, L. E., Daniel, C. R., Fernández, M. P., Cillán‐García, E., Taylor, S. E., & Wolfram, U. (2023) · Journal of the mechanical behavior of biomedical materials/Journal of mechanical behavior of biomedical materials · doi:10.1016/j.jmbbm.2023.106094 · Cited by 1 · see citing works
Vecchis, R. D., Ariano, C., Cesaro, A., & Biase, G. D. (2017) · Preprints.org · doi:10.20944/preprints201707.0082.v1
Modeling of Healing of Intra-Articular Fractures of Long Tubular Bones in Rats
Zinovkin, D. A., Николаев, В. И., Чуешова, Н. В., Veyalkina, N. N., Ignatenko, P. Y., Malyukov, V. V., Pranjol, M. Z. I., & Zinovkina, E. S. (2024) · Innovative medicine of Kuban · doi:10.35401/2541-9897-2024-9-4-77-84
Uniyal, P., & van Lenthe, H. (2026) · Elsevier eBooks · doi:10.1016/b978-0-443-26739-0.00008-9
- Authors
- Lambers, F. M., Bouman, A. R., Tkachenko, E. V., Keaveny, T. M., & Hernandez, C. J.
- Affiliations
- Cornell University (US)
- University of California, Berkeley (US)
- Hospital for Special Surgery (US)
- Corresponding author
- Hernandez, Christopher J.
- Venue
- Journal of Biomechanics
- Publisher
- Elsevier BV
- Published
- 2014-11
- Volume
- 47
- Issue
- 15
- Pages
- 3605-3612
- ISSN
- 0021-9290 (ISSN-L)
- PMC
- PMC4303531
- OpenAlex
- W2110148587
- Cited by
- 36
- References
- 38
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 4 · 2022: 3 · 2021: 1 · 2020: 5 · 2018: 4 · 2017: 5 · 2016: 5 · 2015: 4
- FWCI
- 4.83
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Biomechanics (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute of Arthritis and Musculoskeletal and Skin Diseases
- National Institutes of Health (AR057362, 8U42OD011158-22)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Medicine › Epidemiology › Bone fractures and treatments
- Health Sciences › Medicine › Surgery › Orthopaedic implants and arthroplasty
- Keywords
- microdamage, vertebral cancellous bone, tensile loading, compressive loading, trabecular bone microarchitecture, trabecular thickness, bone microarchitecture, donor variability, bone material properties, bone remodeling
- MeSH terms
- Aged, Biomechanical Phenomena, Bone and Bones, Bone Resorption, Female, Humans, Lumbar Vertebrae, Male, Middle Aged, Pressure, Stress, Mechanical, Tensile Strength, Weight-Bearing, Bone Remodeling, Elastic Modulus
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review