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Knee airbags (KABs) are one countermeasure in newer vehicles that could influence lower extremity (LEX) injury, the most frequently injured body region in frontal crashes. To determine the effect of KABs on LEX injury for drivers in frontal crashes, the analysis examined moderate or greater LEX injury (AIS 2+) in two datasets. Logistic regression considered six main effect factors (KAB deployment, BMI, age, sex, belt status, driver compartment intrusion). Eighty-five cases with KAB deployment from the Crash Injury Research and Engineering Network (CIREN) database were supplemented with 8 cases from the International Center for Automotive Medicine (ICAM) database and compared to 289 CIREN non-KAB cases. All cases evaluated drivers in frontal impacts (11 to 1 o’clock Principal Direction of Force) with known belt use in 2004 and newer model year vehicles. Results of the CIREN/ICAM dataset were compared to analysis of a similar dataset from NASS-CDS (5441 total cases, 418 KAB-deployed).

Crash safety researchers have an increased concern regarding the decreased thoracic deflection and the contributing injury causation factors among the elderly population. Sternum fractures are categorized as moderate severity injuries, but can have long term effects depending on the fragility and frailty of the occupant. Current research has provided detail on rib morphology, but very little information on sternum morphology, sternum fracture locations, and mechanisms of injury. The objective of this study is two-fold (1) quantify sternum morphology and (2) document sternum fracture locations using computed tomography (CT) scans and crash data. Thoracic CT scans from the University of Michigan Hospital database were used to measure thoracic depth, manubriosternal joint, sternum thickness and bone density. The sternum fracture locations and descriptions were extracted from 63 International Center for Automotive Medicine (ICAM) crash cases, of which 22 cases had corresponding CT scans.

The human body undergoes a variety of changes as it ages through adulthood. These include both morphological (structural) changes (e.g., increased thoracic kyphosis) and material changes (e.g., osteoporosis). The purpose of this study is to evaluate structural changes that occur in the aging bony thorax and to assess the importance of these changes relative to the well-established material changes. The study involved two primary components. First, full-thorax computed tomography (CT) scans of 161 patients, age 18 to 89 years, were analyzed to quantify the angle of the ribs in the sagittal plane. A significant association between the angle of the ribs and age was identified, with the ribs becoming more perpendicular to the spine as age increased (0.08 degrees/year, p=0.012). Next, a finite element model of the thorax was used to evaluate the importance of this rib angle change relative to other factors associated with aging.