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BackgroundDetermining the mechanical behaviour of tendon and ligamentous tissue remains challenging, as it is anisotropic, non-linear and inhomogeneous in nature.MethodsIn this study, three-dimensional (3D) digital image correlation (DIC) was adopted to examine the strain distribution in the human Achilles tendon. Therefore, 6 fresh frozen human Achilles tendon specimens were mounted in a custom made rig for uni-axial loading. 3D DIC measurements of each loading position were obtained and compared to 2 linear variable differential transformers (LVDT’s).Results3D DIC was able to calculate tendon strain in every region of all obtained images. The scatter was found to be low in all specimens and comparable to that obtained in steel applications. The accuracy of the 3D DIC measurement was higher in the centre of the specimen where scatter values around 0.03% strain were obtained. The overall scatter remained below 0.3% in all specimens. The spatial resolution of 3D DIC on human tendon tissue was found to be 0.1 mm2. The correlation coefficient between the 3D DIC measurements and the LVDT measurements showed an excellent linear agreement in all specimens (R2 = 0.99). Apart from the longitudinal strain component, an important transverse strain component was revealed in all specimens. The strain distribution of both components was of a strongly inhomogeneous nature, both within the same specimen and amongst different specimens.ConclusionDIC proved to be a very accurate and reproducible tool for 3D strain analysis in human tendon tissue.Electronic supplementary materialThe online version of this article (doi:10.1186/s40634-014-0007-8) contains supplementary material, which is available to authorized users.

Fatigue design of engineering structures is typically based on lifetime calculation using a cumulative damage law. The linear damage rule by Miner is the universal standard for fatigue design even though numerous experimental studies have shown its deficiencies and possible non-conservative outcomes. In an effort to overcome these deficiencies, many nonlinear cumulative damage models and life prediction models have been developed since; however, none of them have found wide acceptance. This review article aims to provide a comprehensive overview of the state-of-the art in cumulative damage and lifetime prediction models for endurance based high-cycle fatigue design of metal structures.

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