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Cited by 433

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Periosteal Bone Formation — A Neglected Determinant of Bone Strength

Seeman, Ego·2003·New England Journal of Medicine

Abstract

Life forms that have low body mass can hunt for food on the undersurface of branches or along shear cliff faces quite unperturbed by gravity. For larger animals, the hunt for dinner and the struggle to avoid becoming someone else's meal require rapid movement against gravity. This need is met by the lever function of long bones, three-dimensional masterpieces of biomechanical engineering that, by their material composition and structural design, achieve the contradictory properties of stiffness and flexibility, strength and lightness.1 Material stiffness results from the encrusting of the triple-helical structure of collagen type I with hydroxyapatite crystals, which confers . . .

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Metadata

Authors
Seeman, E.
Venue
New England Journal of Medicine
Published
2003-07-24
Volume
349
Issue
4
Pages
320-323
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W1966641327
Cited by
433
References
0
FWCI
24.21
Type
journal article
Language
en
Open access
closed

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