Search Results

The purpose of the study was to identify all small overlap impacts using published coded NASS-CDS data. Three sets of criteria were used: CDC measurements; crush profiles for frontal impacts; and crush profiles for oblique side impacts to the fender component. All criteria were applied to passenger and non-passenger cars and their different vehicle class sizes. Data were analyzed based on fatalities and different levels of MAIS trauma. The overall data set based on CDC codes for 2005 to 2008 NASS-CDS data had 9,206 MAIS=0; 13,522 MAIS=1-2; 3,600 MAIS=3-6; 1,092 MAIS=7; and 961 fatal cases. For the weighted ensemble, these data were: 5,800,295; 4,324,773; 269,042; 219,481; and 44,906 cases, respectively. However, these cases reduced to 1071, 1468, 364, 82, and 87 raw cases with the application of the CDC criteria for frontal impacts.

Forty-two side impact cadaver sled tests were conducted at 24 and 32 km/h impact speeds into rigid and padded walls. The post-mortem human subjects were instrumented with accelerometers on the ribs and spine and chest bands around the thorax and abdomen to characterize their mechanical response during the impact. Load cells at the wall measured the impact force at the level of the thorax, abdomen, pelvis, and lower extremities. The resulting injuries were determined through detailed autopsy and radiography. Rib fractures with or without associated hemo/pneumo thorax or flail chest were the most common injury with severity ranging from AIS=0 to 5. Full and half thorax deflections were computed from the chest band data. The cadaver test data was analyzed using ANOVA and logistic regression. The age of the subject at the time of death had influence on injury outcome while gender and mass of the subject had little or no influence on injury outcome.

Inertial loading of the head-neck complex occurs in rear impacts wherein the head and neck of the occupant are initially subjected to rearward forces. Epidemiological evidence exists to demonstrate the significance and societal impact of these injuries [4]. From a clinical perspective, trauma secondary to inertial loads belongs to the lower end of the Abbreviated Injury Scale, and no specific diagnostic techniques are available to quantitatively document the injury. Furthermore, identification of the mechanisms of injury and derivation of injury thresholds are limited. In fact, there is a paucity of literature focusing on the reproduction of rear impact-induced neck injuries due to a single-event rear impact. Because the impact acceleration is transmitted to the head from the torso via the cervical column, the components of the human neck play a role in the mechanics of trauma.

The objective of the present study was to determine the kinematics of the human head-neck complex with specific reference to posterior facet joints as a function of rear impact acceleration. Six intact human head-neck complexes were prepared by fixing the first thoracic vertebra in polymethylmethacrylate. The specimens were oriented such that the Frankfurt plane was horizontal and the cervico-thoracic disc was at an angle of 25 degrees to simulate the normal driving position. Retroreflective targets were inserted to the cervical vertebrae. The specimens were subjected to simulated rear impact accelerations using a minisled apparatus. A series of tests were conducted with velocities of 2.1, 4.6, 6.6, 9.3, and 12.4 km/h. In this study, to achieve the objective, results are presented on the facet joint motions at the C4–5, C5–6, and C6–7 levels as a function of change in velocity.

The objective of this study was to subject small female and large male cadavers to simulated rear impact, document soft-tissue injuries to the neck, determine the kinematics, forces and moments at the occipital condyles, and evaluate neck injury risks using peak force, peak tension and normalized tension-extension criteria. Five unembalmed intact human cadavers (four small females and one large male) were prepared using accelerometers and targets at the head, T1, iliac crest, and sacrum. The specimens were placed on a custom- designed seat without head restraint and subjected to rear impact using sled equipment. High-speed cameras were used for kinematic coverage. After the test, x-rays were obtained, computed tomography scans were taken, and anatomical sections were obtained using a cryomicrotome. Two female specimens were tested at 4.3 m/s (mean) and the other two were tested at 6.8 m/s (mean), and one large male specimen was subjected to 6.6 m/s velocity.

Axial loading of the calcaneus-talus-tibia complex is an important injury mechanism for moderate and severe vehicular foot-ankle trauma. To develop a more definitive and quantitative relationship between biomechanical parameters such as specimen age, axial force, and injury, dynamic axial impact tests to isolated lower legs were conducted at the Medical College of Wisconsin (MCW). Twenty-six intact adult lower legs excised from unembalmed human cadavers were tested under dynamic loading using a mini-sled pendulum device. The specimens were prepared, pretest radiographs were taken, and input impact and output forces together with the pathology were obtained using load cell data. Input impact forces always exceeded the forces recorded at the distal end of the preparation. The fracture forces ranged from 4.3 to 11.4 kN.

Sixty-three simulated frontal impacts using cadaveric specimens were performed to examine and quantify the performance of various contemporary automotive restraint systems. Test specimens were instrumented with accelerometers and chest bands to characterize their mechanical responses during the impact. The resulting thoracic injury severity was determined using detailed autopsy and was classified using the Abbreviated Injury Scale. The ability of various mechanical parameters and combinations of parameters to assess the observed injury severities was examined and resulted in the observation that belt restraint systems generally had higher injury rates than air bag restraint systems for the same level of mechanical responses. To provide better injury evaluations from observed mechanical parameters without prior knowledge of what restraint system was being used, a dichotomous process was developed.

The objective of the study was to investigate the biomechanical response of the intact cranium. Unembalmed human cadavers were used in the study. The specimens were transected at the base of the skull leaving the intracranial contents intact; x-ray and computed tomography (CT) scans were obtained. They were fixed in a specially designed frame at the auditory meatus level and placed on the platform of an electrohydraulic testing device via a six-axis load cell. Following radiography, quasistatic loading to failure was applied to one of the following sites: frontal, vertex, parietal, temporal, or occipital. Retroreflective targets were placed in two mutually orthogonal planes to record the localized temporal kinematics. Applied load and piston displacement, and the output generalized force (and moment) histories were recorded using a modular digital data acquisition system. After the test, x-ray and CT images were obtained, and defleshing was done.

Head injury is a serious threat to lives of people working around farm machinery. The consequence of head injuries are costly, paralytic, and often fatal. Clinical and biomechanical data on head injuries are reviewed and their application in the analysis of head injury risk associated with farm tractor discussed. A significant proportion of tractor-related injuries and deaths to adults, as well as children, is due directly or indirectly to head injury. An improved injury reporting program and biomechanical studies of human response to tractor rollover, runover, and falls, are needed to understand mechanisms of the associated head injury.

In the present investigation a tractor wheel runover accident was simulated to obtain biomechanical information relating to mechanism of injury. Twelve cadaver porcine specimens were runover with the right front wheel of a tractor. Specimens were placed on a six-axis force plate and thorax contours were recorded temporally. Results indicated up to 68% compression of the chest occurred during the runover event. The shear force in the direction of travel was a significant factor in the type of fractures that occurred to the rib cage. Pathology determined from x-ray revealed multiple fractures per rib in the area directly below the path of the tire. Autopsy evaluation revealed soft tissue contusion on the left side in the area of wheel path. There was often extra blood in the pericardial space and examination of the brain showed petechial hemorrhaging subdurally.

The objective of the study was to document the thoracic deformation contours in a simulated frontal impact. Unembalmed human cadavers and the Hybrid III anthropomorphic manikins were tested. Data from the newly developed External Peripheral Instrument for Deformation Measurement (EPIDM) was used to derive deformation patterns at upper and lower thoracic levels. Deceleration sled tests were conducted on three-point belt restrained surrogates positioned in the driver's seat (no steering assembly) using a horizontal impact test sled at velocities of approximately 14.0 m/s. Lap and shoulder belt forces were recorded with seat belt transducers. The experimental protocol included a Hybrid III manikin experiment followed by the human cadaver test. Both surrogates were studied under similar input and instrumentation conditions, and identical data acquisition and analysis procedures were used. All six testedcadavers demonstrated multiple bilateral rib fractures.