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. 2020 Apr 8;79(6):811–818. doi: 10.1136/annrheumdis-2020-216942

Figure 3.

Figure 3

Hypothetic model of shear force-induced horizontal fissures in osteoarthritis (OA) patients with obesity. Osteochondral unit is a multiphasic materials structure. The unit may receive direct loading from cartilage to subchondral bone (SCB) in OA patients with normal weight. However, in patients with obesity, articular cartilage (AC) experiences a large lateral deformation due to the high compressive stress, the deformation being restrained by the underlying calcified cartilage (CC) and SCB, which generates secondary shear stress to induce horizontal fissures and cartilage erosion at the osteochondral interface.