Finite Element Analysis of the Effects of Different Shapes of Adult Cranial Sutures on Their Mechanical Behavior

Cranial sutures play critical roles in load distribution and neuroprotection, with their biomechanical performance intimately linked to morphological complexity. The purpose of this study was to investigate the effect of different morphologies of cranial sutures on their biomechanical behavior. Based on the different morphologies of the cranial sutures, six groups of finite element models (closed, straight, sine wave, tight sinusoidal wave, layered sinusoidal wave, and layered sinusoidal wave + sutural bone) of the bone-suture-bone composite structures that ranged from simple to complex were constructed. Each model was subjected to 50 kPa impact and 98 N bilateral tensile loads to evaluate von Mises stress and total deformation variations across all groups under combined loading conditions. Key findings reveal that morphological complexity directly governs stress dynamics and mechanical adaptation; layered sinusoidal configurations delayed peak stress by 19-36% and generated elevated von Mises stresses compared to closed sutures, with stress concentrations correlating with interfacial roughness. Under impact, sutures exhibited localized energy dissipation (<0.2 μm deformation), while tensile loading induced uniform displacements (≤11 μm) across all morphologies (<i>p</i> > 0.05), underscoring their dual roles in localized energy absorption and global strain redistribution. Craniosacral therapy relevant forces produced sub-micron deformations far below pathological thresholds (≥1 mm), which implies the biomechanical safety of recommended therapeutic force. Staggered suture-bone in open sutures (31.93% closure rate) enhances shear resistance, whereas closed sutures prioritize rigidity. The findings provide mechanistic explanations for suture pathological vulnerability and clinical intervention limitations, offering a quantitative foundation for future research on cranial biomechanics and therapeutic innovation.