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Disc herniations in the spine are commonly associated with degenerative changes, and the prevalence increases with age. Though rare, spinal disc herniations can also be caused by trauma. With increasing number of older drivers on U.S. roads, there is an expected proportionate increase in clinical findings of disc herniations in occupants involved in vehicle impacts. Our goal in this study is to determine whether there is a causal relationship between frontal impacts and the occurrence of disc herniations in the occupants of these impacts. We further aim to determine the prevalence of different types of spinal injury and to evaluate the effects of crash severity and other parameters on different types of spinal injury in such impacts. Using data from the National Automotive Sampling System - Crashworthiness Data System (NASS-CDS) database from 1993 through 2014, we examined the reported occurrence of all spine injuries for adult occupants in frontal impact.

Over half of the 1.2 million annual traffic fatalities worldwide are pedestrians struck by motor vehicles [ 1 ]. Medical databases, such as the National Inpatient Sample (NIS), have been utilized to ascertain injury patterns in the general population of injured pedestrians [ 2 - 3 ]. However, the authors are not aware of any studies investigating how factors, such as physical impairments, intoxication, and pre-existing medical implants (e.g. hip replacement, artificial knee, etc.) affect the prevalence of pedestrian accidents or injury outcomes. Five to eight million inpatient hospitalization records are included in the NIS annually, and this large sample size allows for analyses that are not possible with smaller data sets on pedestrian injuries. The current study utilizes the NIS to evaluate how several factors such as blindness, deafness, intoxication, and pre-existing medical implants affect injury patterns when compared to the general population of hospitalized pedestrians.

Previous studies have suggested injury assessment reference values (IARVs) for lower neck injury based on scaled upper neck values. This study developed independent flexion and extension IARVs for the lower neck by matching Anthropomorphic Test Device (ATD) data to impact-tested post-mortem human subjects (PMHSs) with mid- to low-cervical spine injuries. Pendulum and sled tests with Hybrid III midsize male and small female ATDs were run under conditions mimicking those of published PMHS torso drop-sled tests and other PMHS studies. Measurements included upper and lower neck forces and moments, head acceleration, head rotation rate, and head/neck angles for the pendulum tests. Rear impacts corresponding to rigid seatback tests without a head restraint produced lower neck extension moments that increased dramatically with test severity, as measured by increasing delta-V and/or decreasing pulse duration.

The likelihood of a front seat occupant sustaining a femoral shaft fracture in a frontal crash has traditionally been assessed by an injury criterion relying solely on the axial force in the femur. However, recently published analyses of real-world data indicate that femoral shaft fracture occurs at axial loads levels below those found experimentally. One hypothesis attempting to explain this discrepancy suggests that femoral shaft fracture tends to occur as a result of combined axial compression and applied bending. The current study aims to evaluate this hypothesis by investigating how these two loading components interact. Femoral shafts harvested from human cadavers were loaded to failure in axial compression, sagittal plane bending, and combined axial compression and sagittal plane bending.

Each year, over half of the world's 1.17 million fatalities resulting from traffic collisions are pedestrians (World Bank, 2008). Mitigation of such fatalities and serious injuries requires a thorough understanding of the common injury mechanisms that occur in pedestrian impacts. Studying the frequency of injury to each body region and how injury patterns are related may provide additional insight into pedestrian injury mechanisms, which could be used to develop additional prevention strategies. There is a wealth of information regarding pedestrian collisions within national databases that have not been extensively used to investigate these issues to date. This paper presents a review of selected databases that contain information regarding injuries to pedestrians who have been involved in a motor vehicle collision, including the strengths and weaknesses of each in performing this type of analysis.

Experimental tests were performed on the modified Polar-II pedestrian dummy lower extremity components to evaluate their biofidelity in lateral impact loading corresponding to a 40 km/h pedestrian-car collision. The bending moment-angle response from a newly developed knee joint, dynamically loaded in four-point valgus bending, was compared against previously published postmortem human subject (PMHS) response corridors. In addition to the stiffness characteristics of the knee joint, individual ligament forces were also recorded during the bending tests. The evaluated force-relative elongation response of the medial collateral ligament (MCL) in the new knee was compared against PMHS data on MCL tensile stiffness. Lower extremity long bones developed for improved anthropometrical accuracy and deformability were dynamically loaded in latero-medial three-point bending.

Current standards and test devices for pedestrian safety are developed using results from impact tests where inertial considerations have dominated and the vehicle pedestrian loading environment has not been properly replicated. When controlled tests have been conducted to evaluate the biofidelity of anthropometric test devices, current designs have faired poorly. The objective of the current study was to develop dynamic force-deflection and moment-deflection response corridors for the 50th percentile adult male thigh and leg subjected to non-midpoint 3-point bending at rates characteristic of the vehicle-pedestrian loading environment. Six thigh and eight leg specimens were harvested from eight adult male human cadavers and ramped to failure in dynamic 3-point bending in the latero-medial direction.

Pediatric pedestrians are frequently involved in Pedestrian versus Motor Vehicle Collisions (PMVCs). While in recent years, the automotive industry has worked towards making cars less aggressive to pedestrians, the efforts have mainly focused on adult pedestrian safety. When they have included considerations for children, only head injuries have been evaluated. The development of automotive counter-measures that provide protection for both adult and pediatric pedestrians requires access to injury criteria for the entire body that specifically account for both the age-dependent tissue properties and the pedestrian's size. The objective of the present study is to derive lateral injury criteria for the head, neck, thorax, abdomen and pelvis that can be used in finite element and multi-body simulations of PMVCs involving the 6-year-old pedestrian (corresponding injury criteria for the upper and lower extremities are derived in part II of this study).

Pediatric pedestrians are frequently involved in Pedestrian versus Motor Vehicle Collisions (PMVCs). While in recent years, the automotive industry has worked towards making cars less aggressive to pedestrians, the efforts have mainly focused on adult pedestrian safety. When they have included considerations for children, only head injuries have been evaluated. The development of automotive countermeasures that provide protection for both adult and pediatric pedestrians requires access to injury criteria for the entire body that specifically account for both the age-dependent tissue properties and the pedestrian's size. The objective of the present study is to derive lateral injury criteria for the upper and lower extremities that can be used in finite element and multi-body simulations of PMVCs involving the 6-year-old pedestrian (corresponding injury criteria for the head, neck, thorax, abdomen and pelvis are derived in part I of this study).