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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.

In a review of 540 crashes in which the steering-wheel airbag deployed, 38% of the drivers sustained some level of upper extremity injury. The majority of these were AIS-1 injuries including abrasions, contusions and small lacerations. In 18 crashes the drivers sustained AIS-2 or-3 level upper extremity injuries, including fractures of the radius and/or ulna, or of the metacarpal bones, all related to airbag deployments. It was determined that six drivers sustained the fracture(s) directly from the deploying airbag or the airbag module cover. The remaining 12 drivers had fractures from the extremity being flung into interior vehicle structures, usually the instrument panel. Most drivers were taller than 170 cm and, of the 18 drivers, 10 were males.

The side impact, recently and currently the subject to of much debate, controversy and proposed NHTSA rule making, is a difficult type of crash to significantly reduce serious injuries and fatalites. Results from real-world crash investigations presents a confusing picture for the near-side passenger compartment crash. A direct relationship between the amount of crush and injury severity levels (MAIS) is not apparent. Exemplar cases of tow-a-way/injury crashes are presented at all AIS injury level of drivers in crashes with direct driver door crush damage.

To determine the frequency of facial injuries from steering-wheel airbag deployments, 540 consecutive steering-wheel airbag deployments, investigated by the University of Michigan Transportation Research Institute (UMTRI) personnel, were reviewed. About 1 in 3 drivers sustain an injury to the face. Injuries to the area surrounding the eye (periorbital) or to the eyeball (ocular) rarely occur. The frequencies of facial or ocular injuries are the same for belted and unbelted drivers. Drivers of short stature had a higher frequency of facial injury. Females sustained ocular injuries more frequently than males. Untethered airbags were not overly involved in drivers with an ocular injury. No specific make or model car were overly represented in the ocular injury cases.