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Accident cases are examined to determine the injury mechanism for foot/ankle moderate and greater injuries in vehicle crashes. The authors examine 480 in-depth cases from the National Accident Sampling System for the years 1979 through 1987. An injury mechanism - a description of how the foot/ankle physically interacted with the interior of the vehicle - is assigned to each of the injured occupants. For the accidents in which the 480 occupants were injured, the more prominent types of vehicle collisions are characterized.

In an effort to better understand thoracic trauma in frontal impacts, seventy-one frontal impact sled tests were conducted using post-mortem human subjects in the driver's position. Various contemporary automotive restraint systems were used in these tests. The post-mortem subjects were instrumented with accelerometers and chest bands to characterize their mechanical response during the impact. The resulting injury from the impact was determined through radiography and detailed autopsy and its severity was coded according to the Abbreviated Injury Scale. The measured mechanical responses were analyzed using statistical procedures. In particular, linear logistic regression was used to develop models which associate the measured mechanical parameters to the observed thoracic injury response. Univariate and multivariate models were developed taking into consideration potential confounders and effect modifiers.

A finite element model of the human thorax was merged with a rigid body finite element implementation of the Hybrid III dummy (after removal of the Hybrid III thorax) and the combined model is used in simulations of an out of position driver during airbag deployment. Parameters related to injury, such as A-P thorax deformation, Viscous Criterion, rib stress distribution and strain in the thoracic contents are used to quantify the thoracic injury response. Initial driver position is varied to examine the relationship between distance from the airbag module and thoracic injury risk. The potential for injury mitigation through modulation of airbag inflation after initiation is also investigated. The utility of the combined model as an effective tool for the analysis of occupant kinematics and dynamics, examination of injury mechanisms, and optimization of restraint system design parameters is demonstrated.

With the widespread use of supplemental restraint systems (airbags), occasional rare injuries have occurred because of the force associated with these systems upon deployment. Recent case studies have demonstrated forearm fractures associated with airbag deployment. The present study was conducted to determine the tolerance of the human forearm under a dynamic bending mode. A total of 30 human cadaver forearm specimens were tested using three-point bending protocol to failure at 3.3 m/s and 7.6 m/s velocities. Results indicated significantly (p < 0.01) greater biomechanical parameters associated with males compared to females. The bending tolerance of the human forearm, however, was found to be most highly correlated to bone mineral density, bone area, and forearm mass. Thus, any occupant with lower bone mineral density and lower forearm geometry/mass is at higher risk. The mean failure bending moment for all specimens was 94 Nm.

Axial loading of the foot/ankle complex is an important injury mechanism in vehicular trauma that is responsible for severe injuries such as calcaneal and tibia pilon fractures. Axial loading may be applied to the leg externally, by the toepan and/or pedals, as well as internally, by active muscle tension applied through the Achilles tendon during pre-impact bracing. In order to evaluate the effect of active muscle tension on the injury tolerance of the foot/ankle complex, blunt axial impact tests were performed on 44 isolated lower legs with and without experimentally simulated Achilles tension. The primary fracture mode was calcaneal fracture in both groups, but tibia pilon fractures occurred more frequently with the addition of Achilles tension. Acoustic emission demonstrated that fracture initiated at the time of peak local axial force.

A summary of the efforts of the Biomechanics Working Group to complete the task given to it by the International Harmonized Research Activities Steering Committee to determine specifications for a Universal Side Impact Anthropomorphic Test Devices is presented. Topics discussed are the nature of the world side impact problem, the anthropometric characterization of the world population at risk, dummy impact response specifications, and necessary and appropriate injury criteria and performance levels.

Injuries to the thorax and abdomen comprise a significant percentage of all occupant injuries in motor vehicle accidents. While the percentage of internal chest injuries is reduced for restrained front-seat occupants in frontal crashes, serious skeletal chest injuries and abdominal injuries can still result from interaction with steering wheels and restraint systems. This paper describes the design and performance of prototype components for the chest, abdomen, spine, and shoulders of the Hybrid III dummy that are under development to improve the capability of the Hybrid III frontal crash dummy with regard to restraint-system interaction and injury-sensing capability.

Sixty-three simulated frontal impacts using cadaveric specimens were performed to examine and quantify the performance of various contemporary automotive restraint systems. Test specimens were instrumented with accelerometers and chest bands to characterize their mechanical responses during the impact. The resulting thoracic injury severity was determined using detailed autopsy and was classified using the Abbreviated Injury Scale. The ability of various mechanical parameters and combinations of parameters to assess the observed injury severities was examined and resulted in the observation that belt restraint systems generally had higher injury rates than air bag restraint systems for the same level of mechanical responses. To provide better injury evaluations from observed mechanical parameters without prior knowledge of what restraint system was being used, a dichotomous process was developed.

Finite element modelling has been used to study the evolution of strain in a model of the human brain under impulsive acceleration loadings. A cumulative damage measure, based on the calculation of the volume fraction of the brain that has experienced a specific level of stretch, is used as a possible predictor for deformation-related brain injury. The measure is based on the maximum principal strain calculated from an objective strain tensor that is obtained by integration of the rate of deformation gradient with appropriate accounting for large rotations. This measure is used here to evaluate the relative effects of rotational and translational accelerations, in both the sagittal and coronal planes, on the development of strain damage in the brain. A new technique for the computational treatment of the brain-dura interface is suggested and used to alleviate the difficulties in the explicit representation of the cerebrospinal fluid layer existing between the two solid materials.

Computational simulations are conducted for several head impact scenarios using a three dimensional finite element model of the human brain in conjunction with accelerometer data taken from crash test data. Accelerometer data from a 3-2-2-2 nine accelerometer array, located in the test dummy headpart, is processed to extract both rotational and translational velocity components at the headpart center of gravity with respect to inertial coordinates. The resulting generalized six degree-of-freedom description of headpart kinematics includes effects of all head impacts with the interior structure, and is used to characterize the momentum field and inertial loads which would be experienced by soft brain tissue under impact conditions. These kinematic descriptions are then applied to a finite element model of the brain to replicate dynamic loading for actual crash test conditions, and responses pertinent to brain injury are analyzed.

A study of frontal collisions using the NASS data base showed that there were four times as many arm injuries to belt restrained drivers who had an air bag deploy than for the drivers who were simply belted. By far, the distal forearm/hand was the most commonly injured region. Hard copy review identified two modes of arm injury related to the deploying air bag: 1) The arm is directly contacted by the air bag module and/or flap cover, and 2) The arm is flung away and contacts an interior car surface. Based on the field studies, a mechanical device called the Research Arm Injury Device (RAID) was fabricated to assess the aggressivity of air bags from different manufacturers. Results from static air bag deployment tests with the RAID suggested that the RAID was able to clearly distinguish between the aggressive and non-aggressive air bags. Maximum moments ranging between 100 Nm and 650 Nm, and hand fling velocity ranging between 30 and 120 km/h were measured on the RAID in these tests.

Axial loading of the calcaneus-talus-tibia complex is an important injury mechanism for moderate and severe vehicular foot-ankle trauma. To develop a more definitive and quantitative relationship between biomechanical parameters such as specimen age, axial force, and injury, dynamic axial impact tests to isolated lower legs were conducted at the Medical College of Wisconsin (MCW). Twenty-six intact adult lower legs excised from unembalmed human cadavers were tested under dynamic loading using a mini-sled pendulum device. The specimens were prepared, pretest radiographs were taken, and input impact and output forces together with the pathology were obtained using load cell data. Input impact forces always exceeded the forces recorded at the distal end of the preparation. The fracture forces ranged from 4.3 to 11.4 kN.

This work describes the development of a three-dimensional finite element model of the human ankle/foot complex. This model depicts the primary elements of a 50th percentile human ankle. It includes all the bones of the foot up to the distal tibia/fibula. It also contains the soft tissues of the plantar surface of the foot along with most of the ankle joint ligaments and retinacula. To calibrate the model, a plate with various initial velocities of 5, 7.5 and 10 mph is impacted at the plantar surface of the foot. The model is strictly stabilized by the intrinsic anatomical geometry and the ligamentous structure. It demonstrates to a great extent its capacity to replicate the dynamic response. Global responses of output acceleration and force time histories are obtained and compared reasonably well with experimental data.

The purpose of this study was to investigate the use of the chestband in side impact conditions by conducting validation experiments, and evaluating its feasibility by conducting a series of human cadaver tests under side impact crash scenarios. The chestband validation tests were conducted by wrapping the device around the thorax section of the Side Impact Dummy at its uppermost portion. The anthropomorphic test device was seated on a Teflon pad on a platform to accept impact from the side via a pendulum system. Tests were conducted at 4.5, 5.7, and 6.7 m/sec velocities using round and flat impactors. Retroreflective targets were placed at each strain gauge channel on the edge of the chestband. The test was documented using a high-speed digital video camera operating at 4500 frames/sec. Deformation contours and histories were obtained using the chestband electronic signals in combination with the RBAND-PC software.

This paper is part of a four year study to systematically define side impact injury in terms of the kinetic response of a suitable anthropomorphic dummy. Last year a paper was presented at the Experimental Safety Vehicle Conference in Germany which analyzed side impact dummy response and injury prediction based on cadaver data generated by the Highway Safety Research Institute. These subjects were generally older than those discussed in the current paper. This paper includes data from a number of University of Heidelberg cadaver sled tests-including padding tests which we recently found to be (1) critical for a definitive analysis and (2) previously not available. Two advanced dummies, whose design specifications are based upon biomechanical data, are currently being evaluated by the biomechanical community. The two dummies are (1) a Side Impact Dummy (SID) designed by the Highway Safety Research Institute (HSRI) and (2) the Association Peugeot-Renault (APR) dummy from France.

Side impacts have been shown to produce a large portion of both serious and fatal injuries within the total automotive crash problem. These injuries are produced as a result of the rapid changes in velocity an automobile occupant's body experiences during a crash. Any improvement to the side impact problem will be brought about by means which will ultimately modify the occupant's rapid body motions to such a degree that they will no longer produce injuries of serious consequence. Accurate knowledge of both the body's motion and resulting injuries under a variety of impact conditions is needed to achieve this goal. Possession of this knowledge will then permit development of accurate anthropomorphic test devices and injury criteria which can be used to create effective injury countermeasures in vehicles.

A dynamic characterization of the human thorax, in the form of a digital impulsive response signature, has been obtained which links the acceleration response of the struck side with the far side of the thorax under side impact conditions. This dynamic characterization was obtained by a unique combination of digital convolution theory, least squares approximation techniques, and a digital set of cadaver impact data. It has proven itself accurate in predicting the maximum relative acceleration, velocity and displacement between the left and the right lateral aspects of the thorax for a variety of impact conditions including lateral pendulum impacts, lateral rigid walls impacts at 15 and 20 mph and lateral impacts into padded walls at 20 mph.

Analysis of experimental acceleration time history data obtained from a thoracic instrumentation array has been performed. The data were generated under test conditions which include realistic frontal impacts in belt, air bag, and steering column systems and side impacts with rigid and padded door structures. Data from frontal and lateral pendulum impacts were also included. The results demonstrate that the instrumentation array captures sufficient information from the impact event to allow prediction of resulting thoracic trauma, defined either as thoracic AIS or total number of thoracic fractures, using a single function for each injury measure. Each function is universal in the sense that it is valid for all test modes and directions of impact. A strategy for developing a surrogate thorax to implement this injury predictive methodology is discussed and preliminary specifications are presented.

A series of 24 pregnant baboons was impacted under similar conditions. The only major variable was the difference in maternal restraint. The fetal death rate of 8.3% (1/12) among maternal animals impacted with three-point restraint was significantly different from five fetal deaths among 10 maternal animals impacted under lap belt restraint alone (p < 0.05). It is concluded that shoulder harness restraint should be recommended for use by pregnant travelers as being significantly more protective of fetal welfare when compared with lap belt restraint alone.

A series of seventy-two pendulum-type impact tests were performed on six NHTSA Side Impact Dummies (SID) to assess dummy repeatability and reproducibility. A quantity called the Normalized Integral Square Error (NISE) is used to quantify the difference between acceleration responses from repeat tests. Limits for the NISE are developed to define acceptable differences in terms of phase shift, amplitude, and shape. Results indicate that the SID is repeatable in all of the test cases considered and fairly reproducible in 90° lateral impacts although this is not shown conclusively. Before the testing could be performed it was necessary to correct several durability problems with the SID that were identified while early production versions of the dummy were being tested. These modifications are described briefly.