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The current study was designed to compare the surface anatomy of the knee for different human subject anthropometries using a 3-D, non-contact digitizer which converted the anatomy into point clouds. The subjects were studied at flexion angles of 60, 90, and 120 degrees. Multiple subjects fitting narrow anthropometrical specifications were studied: 5th percentile female, 50th percentile male, and 95th percentile male. These data were then compared to a corresponding anthropometrical crash dummy knee which served as an unambiguous control. Intersubject human comparisons showed surface geometry variations which were an order of magnitude smaller than comparisons between the human and dummy knee. Large errors between the human and dummy were associated with the muscle bulk proximal and distal to the popliteal region and the rounder shape of the human knee.

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.

Contact between the knees and knee bolster commonly occurs in frontal collisions. The contact region on the bolster and the knee anatomy involved are related to the pre-crash positioning of the knees. The location of the distal (or infra-) patella was recorded on volunteers of widely varying stature after they had selected a comfortable driving position in mockups of three vehicles representing a large variation in size and shape: sedan, crossover SUV, and full-size pickup. On average, the right knees were grouped more tightly and were located more forward and lower than the left knees. On average, the knees were positioned 200 mm from the knee bolster for all subjects. The range of distance separating the distal patellae (within subject knee-to-knee distance) varied from 184–559 mm for all subjects for the three vehicles.

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.

Previous experimental and theoretical studies on isolated human knees have shown that increasing the contact area over the knee during blunt impact can prevent serious knee injury (i.e. joint fracture). Because large contact areas are typically associated with lower stiffness impact interfaces, this suggests that instrument panels could provide some protection to the knee during a car accident. Further, the knee-to-IP contact is one of the first contact events which occur during a head-on crash, thus, one optimal scenario might be to dissipate as much energy as possible at the knee without causing serious knee injury. This would help minimize the kinetic energy in the upper body, possibly reducing the need for more aggressive countermeasures (i.e. air bags) later in the impact event. Our objective in the current study was to determine how different car interior geometries and crash pulses would affect specific occupant responses during a head-on car crash.