Christine D. Walck, Braden C. Fleming, Aspen E. Taylor, Pablo Vilches Mangada, Anthony T. Dioguardi

A Scoping Review of Current Methods and Limitations for Modeling and Evaluating Ligamentous Structures

Recently, scientists have utilized a range of techniques in the attempt to model ligamentous structures, which play a vital role in the functioning of the human body. Therefore, our objective is to conduct a systematic scoping review that evaluates the scope of 163 journals pertaining to computational modeling of ligaments, while also assessing the limitations associated with each method. These limitations encompass various aspects, including anatomical considerations, subject specificity, viscoelasticity, mechanical properties, model-specific factors, and limitations related to medical imaging. The guiding question for this review is: What are the existing limitations in the surveyed literature regarding ligament modeling and methods, specifically with regard to time variance and environmental hazards? A search of PubMed/MEDLINE, Web of Science (WoS), and ScienceDirect was conducted following the scoping review methodology recommended by the Joanna Briggs Institute (JBI) for evidence-based healthcare. After applying the inclusion and exclusion criteria, 74 full-text articles were analyzed, revealing that each method possesses its own set of limitations and may not comprehensively encompass all aspects of ligament properties. Nevertheless, despite these limitations, the majority of these methods exhibit the ability to produce reliable outcomes.

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