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A common injury type among foot and ankle injury is the Lisfranc trauma, or injury to the forefoot. The Lisfranc injury indicates abnormal alignment of the tarsal-metatarsal joints with the loss of their normal spatial relationships. In 2003, Smith completed a laboratory study of this injury mechanism at Wayne State University [1, 2]. He found Lisfranc trauma was correlated with impact force to the forefoot. He proposed a probability of injury function that is based on the applied force to the forefoot. This study examined the instrumentation in the foot of the dummies in the USA New Car Assessment Program (NCAP) and Insurance Institute of Highway Safety (IIHS) frontal crashes. Nineteen different passenger vehicles representing four different vehicle classes were selected based mostly on a large presence in the USA vehicle fleet. Both NCAP and IIHS crashed these nineteen makes and models.

One of the leading causes of death in automotive crashes is traumatic rupture of the aorta (TRA) or blunt aortic injury (BAI). The risk of fatality is high if an aortic injury is not detected and treated promptly. The objective of this study is to investigate TRA mechanisms using finite element (FE) simulations of reconstructed real-world accidents involving aortic injury. For this application, a case was obtained from the William Lehman Injury Research Center (WLIRC), which is a Crash Injury Research and Engineering Network (CIREN) center. In this selected crash, the case vehicle was struck on the left side with a Principal Direction of Force (PDoF) of 290 degrees. The side structure of the case vehicle crushed a maximum of 0.33 m. The total delta-V was estimated to be 6.2 m/s. The occupant, a 62-year old mid-sized male, was fatally injured. The occupant sustained multiple rib fractures, laceration of the right ventricle, and TRA, among other injuries.