Is the circumferential tensile modulus within a human medial meniscus affected by the test sample location and cross-sectional area?

Quantifying the material properties of the human menisci is paramount to understanding their biomechanical functions within the knee. One important intrinsic material property governing the biomechanical functions of the meniscus is the circumferential tensile modulus. The purpose of this study was to determine if the circumferential tensile modulus of the human medial meniscus depends on the location and thickness of the sample tested. The following three hypotheses were tested: (a) the circumferential location (anterior, central, and posterior) does not significantly affect the tensile modulus, (b) the radial location (inner to outer) significantly affects the tensile modulus, and (c) the thickness (cross-sectional area) significantly affects the tensile modulus. Test samples, whose length was oriented in parallel with the circumferential collagen fibers, were collected from different circumferential and radial locations throughout 30 human medial menisci. Samples of three different thicknesses (0.5, 1.5, and 3.0 mm) were taken from three equal groups of 10 menisci (i.e., one thickness per group). The circumferential tensile modulus was measured under quasi-static loading. Statistical analysis showed no significant effect of the circumferential or radial location of the sample on the circumferential tensile modulus. This indicates that an overall circumferential tensile modulus may be calculated for the human medial meniscus by averaging the values determined at the various locations. However, the thickness of the test sample had a significant effect on the measured circumferential tensile modulus; the modulus varied inversely with the thickness. Thus, moduli determined from test samples that are too small in cross-sectional area overestimate the effective modulus of the tissue on the whole, and the cross-sectional area of the sample must be considered when determining a representative circumferential tensile modulus for the medial meniscus in a human knee.