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Injuries to the lower extremities are common during car accidents because the lower extremity is typically the first point of contact between the occupant and the car interior. While injuries to the knee, ankle and hip are usually not life threatening, they can represent a large societal burden through treatment costs, lost work days and a reduced quality of life. The aim of the current study was to specifically study injuries associated with the knee and to propose a methodology which could be used to prevent future knee injuries. To understand the scope of this problem, a study was designed to identify injury trends in car crashes for the years 1979-1995. The NASS (National Accident Sampling System) showed that 10% of all injuries were to the knee, second only to head and neck injuries. Most knee injuries resulted from knee-to-instrument panel contact. Subfracture injuries were most common (contusions, abrasions, lacerations) followed by gross fracture injuries.

Rollover crashes are responsible for a significant proportion of traffic fatalities each year, while they represent a relatively small proportion of all motor vehicle collisions. The purpose of this study was to focus on rollover events from an occupant's perspective to understand what type of industry test method, ATD, computer based model, and injury assessment measures are required to provide occupant protection during rollovers. Specific injuries most commonly experienced in rollovers along with the associated injury sources were obtained by review of 1998-2000 NASS-CDS records. These data suggest that models capable of predicting the likelihood of brain injuries, specifically subarachnoid and subdural hemorrhage, are desirable. Ideally, the model should also be capable of predicting the likelihood of rib fractures, lung contusions and shoulder (clavicular and scapular) fractures, and facet, pedicle, and vertebral body fractures in the cervical spine.

A variety of test methodologies currently exist to assess the propensity of a vehicle to roll laterally, the vehicle performance during a rollover event, and the associated risk of injury to the occupant. There are indications as to which tests are appropriate when attempting to replicate rollover events observed in the field. Due to the complexity of a rollover, test repeatability is a concern as well as cost, and field relevance. Since revisions to governmental rollover regulations are currently being considered, an assessment of currently available rollover test methodologies would provide a context to compare the different experimental designs. Additionally, the design of injury prevention strategies such as side air curtains, 4-point belts, etc. will also require the establishment of repeatable, robust, and economical test methods.

Numerous studies have documented that lower extremity injury is second only to the head and face in automotive accidents. Such injuries are common because the lower extremity is typically the first point of contact between the occupant and the car interior. Of all lower extremity injuries, the knee is the most common site of trauma. This typically results from high speed contact with the instrument panel which can produce fracture and subfracture (contusions, lacerations, abrasions) level injuries. Current Federal safety guidelines use a bone fracture criterion which is based solely on a peak load. The criterion states that loads exceeding 10 kN will likely result in gross bone fracture. However, cadaver experiments have shown that increased contact area (via padding) over the knee can significantly increase the amount of load that can be tolerated before fracture or subfracture injury.