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A significant number of documented ankle injuries incurred in automobile accidents indicate some form of lateral loading is present to either cause or influence injury. A high percentage of these cases occur in the absence of occupant compartment intrusion. To date, no specific ankle injury mechanism has been identified to explain these types of injuries. To investigate this problem, several resources were used including full-scale crash test data, finite element models, and case study field data. Results from car-to-car, offset frontal crash tests indicate a significant lateral acceleration (10-18 g) occurs at the same time as the peak in longitudinal acceleration. The combined loading condition results in a significant lateral force being applied to the foot-ankle region while the leg region is under maximum compression.

This investigation addresses and evaluates: (1) belted drivers in frontal crashes; (2) crashes divided into low, medium, and high severity; (3) air-bag-equipped passenger vehicles separated into either model years 1985 - 1997 (with airbags) or model years 1998 - 2008; (4) rate of Harm as a function of crash severity and vehicle model year; and (5) injury patterns associated with injured body regions and the involved physical components, by vehicle model year. Comparisons are made between the injury patterns related to drivers seated in vehicles manufactured before 1998 and those manufactured 1998 or later. The purpose of this comparative analysis is to establish how driver injury patterns may have changed as a result of the introduction of more recent safety belt technology, advanced airbags, or structural changes.