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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.

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.

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.

Automobiles damaged in collisions in which the main vehicle structure has been underridden or overridden were studied, as well as injuries to occupants of the automobiles. The parameters that affect injuries are listed and discussed, as are the effects of these parameters for each case example. Recommendations are made for modifications of passenger cars, trucks, trailers, and highway furniture to mitigate the severity of injury in underride-override collisions.

Utilizing unembalmed cadaver test subjects, a series of tests was carried out to characterize quantitatively the resistance of the skin, the soft underlying tissue of the scalp, and certain other typical areas of the body to impact loading. The impacts were delivered by the use of an instrumented free-fall device similar to that previously employed for facial bone fracture experiments. In one group of tests, metal and glass edges were affixed to the impacting device to produce localized trauma under conditions which were standardized with respect to variables affecting the degree of the injury. In the second group of experiments, specimens of skin, together with underlying tissue of uniform thickness, were subjected to compressive impact between the parallel surfaces of the impacting weight and a heavy metal platen. From these latter experiments the force-time histories, coefficient of restitution, and hysteresis loops of load versus deflection were obtained for the specimens.

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.

At the 1970 SAE International Automobile Safety Conference, the first experimental chest impact results from a new, continuing biomechanics research program were presented and compared with earlier studies performed elsewhere by one of the authors using a different technique. In this paper, additional work from the current program is documented. The general objective remains unchanged: To provide improved quantification of injury tolerance and thoracic mechanical response (force-time, deflection-time, and force-deflection relationships) for blunt sternal impact to the human cadaver. Fourteen additional unembalmed specimens of both sexes (ranging in age from 19-81 years, in weight from 117-180 lb, and in stature from 5 ft 1-1/2 in to 6 ft) have been exposed to midsternal, blunt impacts using a horizontal, elastic-cord propelled striker mass. Impact velocities were higher than those of the previous work, ranging from 14-32 mph.

Previous studies of human thoracic injury tolerance and mechanical response to blunt, midsternal, anteroposterior impact loading were reported by the authors at the 1970 SAE International Automobile Safety Conference and at the Fifteenth Stapp Car Crash Conference. The present paper documents additional studies from this continuing research program and provides an expansion and refinement of the data base established by the earlier work. Twenty-three additional unembalmed cadavers were tested using basically the same equipment and procedures reported previously, but for which new combinations of impactor mass and velocity were used in addition to supplementing other data already presented. Specifically, the 43 lb/11 mph (19.5 kg/4.9m/s) and 51 lb/16 mph (23.1 kg/7.2 m/s) conditions were intercrossed and data obtained at 43 lb/16 mph (19.5 kg/7.2 m/s) and 51 lb/11 mph (23.1 kg/4.9 m/s).

This paper represents a continuation of previous research on closed head impact in the human cadaver and an associated mathematical model. The long term goal of the study is to describe the relationships between head impact events which might be useful in understanding what takes place in the living human. In the current study, two different sets of experiments were conducted 1) sequential impacts on a single embalmed helmeted specimen and 2) impact experiments on individual helmeted unembalmed specimens. Impact parameters and intracranial pressures were measured and discussed. A finite element model is presented which can predict the intracranial pressures throughout the brain for the first 8 msec. It is apparent that the helmet prevents high magnitude, short duration intracranial pressures and that posterior pressures develop after the, acceleration phase and helmeted impacts.

A study was made of 54 collisions resulting in injuries to rear-seat occupants unrestrained by seatbelts. It was determined that children (who represent a disproportionate percentage of rear-seat occupants) tend to become airborne and to incur severe injuries against the windshield, miror, dashboard and header. Adults tend to injure the face and head against the front seat and to sustain typical leg fractures from trapping their feet under the front seat. The occupants seated at the outside edges of the rear seat sustain dangerous injuries from metal ashtrays and window crank handles out of proportion to the severity of the collision. All unrestrained rear-seat occupants add to the injuries of front-seat occupants by hurtling into them. Terminology to describe the types and severity of collisions is offered to facilitate medical and engineering evaluation of injuries. Recommendations are made for design changes to lessen hazards.

The Vehicular Trauma Research Group of the UCLA School of Medicine is currently conducting intensive studies of selected traffic accidents. Data is presented from an analysis of the first 150 traffic accidents studied. The role of vehicular design, mechanical failure and the performance of the new 1966 windshield in injury causation are discussed and illustrative examples are presented. The importance of detailed studies of traffic accidents is stressed as a method of yielding information not readily available by other methods of study. This approach is mandatory to evaluate new and pending vehicular design modifications and may be the only method of detecting and assessing the role of mechanical failure in traffic accident causation.