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Technical Paper

The Effects of Belt Use and Driver Characteristics on Injury Risk in Frontal Airbag Crashes

2001-03-05
2001-01-0155
From the crash investigation files at the University of Michigan Transportation Research Institute (UMTRI), the crashes involving deployed airbags were reviewed. The total number of deployments is 898 of which 764 are frontal crashes with the principal direction of force (PDF) at 11-1 o’clock. Of the drivers in these frontal crashes 83% were using the belt restraint. Overall, seven of ten drivers have an AIS-0 or 1 level injury as the maximum or highest injury severity level (MAIS). Of the survivors, one in six had a moderate level injury (AIS-2) as their most significant injury and one in nine had an MAIS 3 or greater injury. Fatalities are rare. There is a difference between injury severity frequencies of belted vs. non-belted drivers. Three-quarters of the belted drivers had minor injuries compared to only half of those not belted. A difference was also noted at the AIS-2 level—belted vs. unbelted 14% vs. 23%.
Technical Paper

A Severe Ankle and Foot Injury in Frontal Crashes and Its Mechanism

1998-11-02
983145
In a frontal automotive crash, the driver's foot is usually stepping on the brake pedal as an instinctive response to avoid a collision. The tensile force generated in the Achilles tendon produces a compressive preload on the tibia. If there is intrusion of the toe board after the crash, an additional external force is applied to the driver's foot. A series of dynamic impact tests using human cadaveric specimens was conducted to investigate the combined effect of muscle preloading and external force. A constant tendon force was applied to the calcaneus while an external impact force was applied to the forefoot by a rigid pendulum. Preloading the tibia significantly increased the tibial axial force and the combination of these forces resulted in five tibial pylon fractures out of sixteen specimens.
Technical Paper

Experimental and Analytical Study of Knee Fracture Mechanisms in a Frontal Knee Impact

1996-11-01
962423
The mechanisms of knee fracture were studied experimentally using cadaveric knees and analytically by computer simulation. Ten 90 degree flexed knees were impacted frontally by a 20 kg pendulum with a rigid surface, a 450 psi (3.103 MPa) crush strength and a 100 psi (0.689 MPa) crush strength aluminum honeycomb padding and a 50 psi (0.345 MPa) crush strength paper honeycomb padding at a velocity of about five m/s. During rigid surface impact, a patella fracture and a split condylar fracture were observed. The split condylar fracture was generated by the patella pushing the condyles apart, based on a finite element model using the maximum principal stress as the injury criterion. In the case of the 450 psi aluminum honeycomb padding, the split condylar fracture still occurred, but no patella fractures were observed because the honeycomb provided a more uniform distribution of patella load. No bony fractures in the knee area occurred for impacts with a 50 psi paper honeycomb padding.
Technical Paper

Offset Frontal Collisions: A Review of the Literature and Analysis of UMTRI and NASS Crash Injury Data - CDC, AIS and Body Area Injuries

1995-02-01
950498
Using the CDC (SAE J224), a comparison of the NASS data and the UMTRI field accident files (UM series) indicates a similar distribution of offset frontal crashes. Offset frontal damage occurs in 56-61% of crashes, often involving more than one third of the front of the car. Lap-shoulder belted drivers sustain more AIS 2 or greater injuries when there is interior intrusion and occur more often when the offset damage is in front of the driver. However, this may well be due to the severity of the crash. European studies have no uniformity as to offset frontal collision descriptors are difficult to interpret, or to compare one to another.
Technical Paper

Upper Extremity Injuries Related to Air Bag Deployments

1994-03-01
940716
From our crash investigations of air bag equipped passenger cars, a subset of upper extremity injuries are presented that are related to air bag deployments. Minor hand, wrist or forearm injuries-contusions, abrasions, and sprains are not uncommonly reported. Infrequently, hand fractures have been sustained and, in isolated cases, fractures of the forearm bones or of the thumb and/or adjacent hand. The close proximity of the forearm or hand to the air bag module door is related to most of the fractures identified. Steering wheel air bag deployments can fling the hand-forearm into the instrument panel, rearview mirror or windshield as indicated by contact scuffs or tissue debris or the star burst (spider web) pattern of windshield breakage in front of the steering wheel.
Technical Paper

Thoracic and Lumbar Spine Injuries and the Lap-Shoulder Belt

1993-03-01
930640
From the authors' files, case examples of thoracolumbar injuries sustained by lap-shoulder belted front seat occupants, in frontal crashes, are presented. Additional cases were found in a review of the clinical literature. The biomechanical literature was reviewed, identifying laboratory studies on thoracolumbar spinal injuries. Suggested mechanisms in the production of these injuries in frontal type car crashes are postulated.
Technical Paper

Car Crashes and Non-Head Impact Cervical Spine Injuries in Infants and Children

1992-02-01
920562
The effects of child safety seats have been well documented in the medical literature. Scattered throughout the medical literature are individual case reports of cervical injury to children restrained in child restraint systems. A review of the literature is provided identifying previous documented cases. The authors also provide new case details of children with cervical spine injury without head contact. An overview of the growth of the infant and specific details in the cervical spine that may contribute to significant cervical injury without head impact is presented.
Technical Paper

Non-Head Impact Cervical Spine Injuries in Frontal Car Crashes to Lap-Shoulder Belted Occupants

1992-02-01
920560
Crash injury reduction via lap-shoulder belt use has been well documented. As any interior car component, lap-shoulder belts may be related to injury in certain crashes. Relatively unknown is the fact that cervical fractures or fracture-dislocations to restrained front seat occupants where, in the crash, no head contact was evidenced by both medical records and car inspection. An extensive review of the available world's literature on car crash injuries revealed more than 100 such cases. A review of the NASS 80-88 was also conducted, revealing more examples. Cases from the author's own files are also detailed.
Technical Paper

Analysis of Passenger Car Side Impacts - Crash Location, Injuries, AIS and Contacts

1992-02-01
920353
NASS 80-88 passenger side impacts data were analyzed. Location of primary car damage using the CDC classification, the AIS for injury severity studies, and the interior contacts of the various body areas. Drivers alone, or with passengers were studied separately in both left and right side crashes. Direct impacts to the passenger compartment only are less frequent than to other CDC side zones. Driver interior contacts vary by body region but also by side impacted in the crash. The presence of an unrestrained front passenger appears to enhance driver injury level in left side crashes but the presence of a passenger, in right side crashes appears to moderate driver injury severity.
Technical Paper

Lower Extremity Injuries in Frontal Crashes: Injuries, Locations, AIS and Contacts

1991-02-01
910811
Frontal crashes (11-1 o'clock) were reviewed from the National Accident Severity Study file (NASS) for years 1980-87. Adult drivers and front right passengers, with lower extremity injuries of the pelvis, thigh, knee, leg or ankle/foot were reviewed. Analysis of age differences, injury contacts, and effectiveness of the 3-point restraint system were studied. Unrestrained drivers have a higher frequency of knee injuries than passengers, fewer leg injuries than passengers and both have the same frequency of ankle/foot injuries. Older unbelted drivers have more injuries to the pelvis, leg, and ankle/foot region than do young drivers. Passengers have more leg injuries. The instrument panel is the major contact for most of the lower extremity injuries. Lap/shoulder belts significantly reduce lower extremity injury frequency.
Technical Paper

Near Side Passenger Car Impacts-CDC, AIS & Body Areas Injured (NASS Data)

1990-02-01
900374
This paper presents an analysis of the NASS file (1980 - 1986). Cases were selected for near side impacts for drivers, i.e. left side of car, involving unrestrained adult drivers who were alone in the car, and who were not involved in any other collisions following the primary left side impact. Data analysis indicates that 11 % of the near side drivers had crush damage to only the passenger compartment, the ‘P’ zone, that the head, chest and abdomen predominate as the body areas of concern (AIS 3+ injuries), but that these injuries are sustained more often on structures other than the side interior.
Technical Paper

Basilar Skull Fractures Produced by Facial Impacts - Case Histories and a Review of the Literature

1988-10-01
881711
Basilar skull fractures have previously been described as the result of cranial vault impacts. Such fractures resulting from impacts to the chin, face and/or orbital areas (non-cranial vault areas) have not been adequately documented. These types of fractures and the motor vehicle incidents in which the injuries were sustained will be described according to the type of crash and vehicles involved. Data on the tolerance levels of the basilar region of the skull are sparce at best. Case histories of non-cranial vault impacts, presented in a variety of crash types, document that facial impacts can be the sole cause of basilar skull fractures. A historical review of the basilar skull fracture literature is presented.
Technical Paper

The Rear Seat Occupant from Data Analysis of Selected Clinical Case Studies

1987-02-23
870487
A review of the UM series and of NCSS, NASS, CPIR and FARS Files, as well as Michigan accident data files was undertaken, as well as a review of the NTSB “Rear Seat Study”. From these files rear seat occupany is approximately 10%, with children 6 years of age or less being 1/5th of these. About 50-60% of those in the sear seat are adults. Most of the injuries are at the lower AIS levels, with adults being more seriously injured. Of the more serious or fatal injuries, the head and face predominate by far, in all types of crashes involving unrestrainded rear seat occupants. When belts are worn there are few seriously or fatally injured rear occupants and of these, the abdominal area predominates. From available data, rear lap-belted passengers have the same MAIS level (or less) when compared to their front seat lap-shoulder belted counterparts.
Technical Paper

A Review of the Long-Term Effects of Selected Lower Limb Injuries

1986-02-24
860501
The lower limb is frequently injured during motor vehicle accidents. Some injuries, such as severe pelvic fractures, posterior dislocations of the hip, fractured femurs, and tibial plateau fractures, have their most common cause as motor vehicle related trauma. Musculoskeletal injuries usually take months to heal. Even optimal treatment leaves a significant percentage of those injured with permanent impairments. For some injuries the impairment may develop and/or worsen as the “recovered” victim ages. The long term consequences of major injuries of the musculoskeletal system are discussed in this paper.
Technical Paper

Dynamic Impact Loading of the Femur Under Passive Restrained Condition

1984-10-01
841661
The biodynamic response of the femur during passively restrained -Gx impact acceleration is reported in this paper. Eleven unembalmed cadavers, ranging in age from 21 to 65 and weighing from 50 to 96 kg, were tested in a VW Rabbit seat with a passive belt and knee restraint. Sectioned parts of the VW knee bolster were placed about 130 mm away from the patella at the initiation of the tests. The height of the knee bolsters was adjusted individually in the eleven tests. Ten were set for loading directly through the patella. In one run, the impact was below the knee joint. The sectioned bolsters were mounted on a rigid frame and instrumented with triaxial load cells. A six-axis load cell was installed in the right femur. Photo targets were attached directly to the femur and tibia. Sled runs were made at 22 and 35 g. Only one cadaver sustained bilateral femoral fractures at 35 g.
Technical Paper

Steering Assembly Performance and Driver Injury Severity in Frontal Crashes

1982-02-01
820474
An analysis of 211 automobiles having the ball-type E.A. device (GM cars - 1972–1980), involved in frontal crashes was made to determine the relationship between driver injury and the steering assembly. The majority of the drivers had MAIS of 0 or 1 (66%). The head was the most frequently injured body region with the lower extremities next in frequency. Of the unrestrained drivers studied, 43% had a thoracic injury, the majority of which were minor. There is no correlation between injury severity and steering rim or spoke deformation, or the amount of E.A. column compression. Specific terminology for certain aspects of the E.A. performance are suggested.
Technical Paper

Anatomy, Injury Frequency, Biomechanics, and Human Tolerances

1980-02-01
800098
The purpose of this literature review was to determine areas of automotive injury information that may add to knowledge of injury type, frequency, severity, and cause. This paper is a review of the literature concentrating on the period between 1965 and present. Literature on car, van, or 1ight truck occupants has been reviewed for injury frequencies, types, and locations. Current experimental biomechanical articles are also included. A search was made for descriptions of injury frequency, restraint effectiveness, and the causes of specific injuries. Medical and engineering journals, texts, and books were reviewed. For convenience, this report is divided into sections by body region with an overview introduction on the anatomy of the specific region.
Technical Paper

Dynamic Characteristics of the Human Spine During -Gx Acceleration

1978-02-01
780889
Spinal kinematics and kinetics of human cadaveric specimens subjected to -Gx acceleration are reported along with an attempt to design a surrogate spine for use in an anthropomorphic test device (ATD). There were a total of 30 runs on 9 embalmed and 2 unembalmed cadavers which were heavily instrumented. External photographic targets were attached to T1, T12, and the pelvis to record spinal kinematics. The subjects were restrained by upper and lower leg clamps attached to an impact seat equipped with a six-axis load cell. A rigid link 486 mm long and pinned at both ends was proposed for use in an ATD as a surrogate spine. An optimization method was used to obtain the location and length of a linkage which followed the least squares path of Tl relative to the pelvis.
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