Browse Topic: Injury classification

Items (71)
Residual Injury Situation and Accident Characteristics of Severe Motorcycle Accidents2019-01-06384/2/2019
The total number of persons severely and fatally injured in road traffic accidents has reduced considerably in recent decades. However, the number of motorcyclists involved in accidents has not reduced to the same extent, and some countries have even recorded an increase. The aim of this study is to analyse the circumstances of motorcycle accidents in Germany involving vehicles with a cubic capacity of over 125 cm3 with particular reference to severely or fatally injured riders. An analysis is to be made of the characteristics and patterns of injuries suffered by the most severely injured motorcyclists and proposals developed for injury prevention. The study included accident data from 464 motorcycle accidents collected in Hanover and Dresden between 2010 and 2015 by an academic research team in the course of the GIDAS project (German In-Depth Accident Study). This data represents a statistically representative sample from real accidents occurring in Germany. The analysis of the current injury situation shows that motorcyclists are often severely injured, i.e. suffered injuries of grade MAIS 3+ (so called serious injuries) in 16.9% of cases and thus around 9 times more frequently than car occupants. Motorcyclists wearing helmets suffered head injuries in approx. 20 % of cases. The serious injuries sustained were in particular skull fractures, including base of the skull and traumatic brain injuries are rare. Severe thoracic injuries included in particular rib and shoulder/clavicle fractures, often accompanied by injuries to internal organs. In terms of spinal injuries, the most common serious injuries were fractures of the thoracic spine, followed by fractures of the lumbar spine and cervical spine. In the abdominal area there were often severe injuries in the form of fractures in the pelvic area and accompanying injuries to internal organs. Arm injuries included, besides minor injuries (grazes, bruises, etc.), most commonly fractures of the hands/fingers and forearms, followed by elbow and upper arm fractures. Leg injuries seen in particular were femoral fractures as well as injuries to the muscles and tendons around the knee, also fractures of the shin and calf bones. Around the feet there were many fractures and dislocations of the wrist and ankle joints, as well as toes. The causes of the injuries, which were recorded in detail in the study for the various regions of the body and individual injuries, were most often caused by impact with the road and collision with objects and solid vehicle structural elements of cars and trucks. Serious injuries are linked with high energy respectively high relative impact speed.
Otte, Dietmar
Thoracic Spine Extension Injuries in Occupants with Pre-Existing Conditions during Rear-End Collisions2019-01-12224/2/2019
Certain ankylosing spondyloarthropathies such as ankylosing spondylitis (AS) or diffuse idiopathic skeletal hyperostosis (DISH) can substantially alter clinicopathologic spine biomechanics as well as injury mechanisms in rear-end motor vehicle collisions. AS is an inflammatory disease which can lead to structural impairments of the spine secondary to flowing ossification along the spinal column, including ossification across the spinal discs, facet joints, and ligaments, and it has also been associated with diffuse osteoporosis of the spine. DISH is characterized by excess bone formation along the spinal column, encompassing the annulus and forming the thickest and strongest bridging osteophytes over adjacent vertebral bodies at the level of the disc space. In both conditions the spine is mechanically stiffened and generally more kyphotic than a healthy spine. This paper presents a series of case studies in which a front-seat occupant with ankylosing spondyloarthropathy experienced a moderate- or high-speed rear-end collision and sustained a thoracic spine fracture/dislocation, often with spinal cord injuries. Forward acceleration of the occupant by the seat back in each case resulted in straightening of the kyphotic thoracic spine and consequent extension fractures of the pathologically stiff and brittle thoracic spine. This paper illustrates the predisposition of thoracic fracture for this segment of the population with spinal pathologies such as DISH and AS in rear impacts and notes the role that seat back stiffness could play in injury mechanism for these individuals.
Davis, MathieuIsaacs, JessicaGraber, MartinFisher, Jacob
Investigation on Contralateral Lower Extremity Injuries of Pedestrian and E-Bike Rider Based on C-NCAP2018-01-10454/3/2018
Lower extremities are easily injured in traffic accidents. During pedestrian-vehicle crashes, pedestrian lower extremities are subjected to the influence of combined shear force and bending force, which could bring about ligament tear and bone fracture. According to 2018 China New Car Assessment Program (C-NCAP) pedestrian testing protocol, where the flexible pedestrian legform impactor (FLEX-PLI) is struck from the right lateral by vehicle, the injuries of the ipsilateral side leg are taken into account for assessing the performance of lower extremities. However, the contralateral leg injuries and deformation are neglected in the current testing protocol and the pedestrian walking gaits and the e-bike riding scenario have been little consideration. The purpose of this study is to investigate the injury characteristics of the contralateral lower extremities in pedestrian-vehicle and bicyclist-vehicle crashes. Impact simulations were conducted by the Total Human Model for Safety (THUMS) biomechanical dummy, which the testing vehicle struck the pedestrian of the standing and walking postures as well as the bicyclist at the speed of 40 km/h. The femur, fibula, tibia stress, the stretching ratio of ligaments, and the bending angle of the knee joints for the contralateral side legs were measured. Meanwhile, a comparison of the injuries and motions between the two legs was analyzed. The results show that the walking gait increased the injury risk of long bone fracture and ligation rupture, and the e-bike riding posture enlarged the injury risk of long bone fracture and reduced the ligation stretching ratio compared the standing case. Moreover, the stretching ratio of the contralateral LCL was larger than that of the ipsilateral MCL for all scenarios.
Chen, ChaoFang, Ruiwang, Longliang
Comparison of ATD to PMHS Response in the Under-Body Blast Environment2015-22-001711/9/2015
A blast buck (Accelerative Loading Fixture, or ALF) was developed for studying underbody blast events in a laboratory-like setting. It was designed to provide a high-magnitude, high-rate, vertical loading environment for cadaver and dummy testing. It consists of a platform with a reinforcing cage that supports adjustable-height rigid seats for two crew positions. The platform has a heavy frame with a deformable floor insert. Fourteen tests were conducted using fourteen PMHS (post mortem human surrogates) and the Hybrid III ATD (Anthropomorphic Test Device). Tests were conducted at two charge levels: enhanced and mild. The surrogates were tested with and without PPE (Personal Protective Equipment), and in two different postures: nominal (knee angle of 90°) and obtuse (knee angle of 120°). The ALF reproduces damage in the PMHS commensurate with injuries experienced in theater, with the most common damage being to the pelvis and ankle. Load is transmitted through the surrogates in a caudal-to-cranial sequential fashion. Damage to the PMHS lower extremities begins within 2 ms after the initiation of foot/floor motion. The Hybrid III cannot assume the posture of the PMHS in rigid seats and exhibits a stiffer overall response compared to the PMHS. The ATD does not mimic the kinematic response of the PMHS lower extremities. Further, the Hybrid III does not have the capability to predict the potential for injury in the high-rate, vertical loading environment. A new ATD dedicated to under-body blast is needed to assist in the effort to mitigate injuries sustained by the mounted soldier.
Danelson, Kerry A.Kemper, Andrew R.Mason, Matthew J.Tegtmeyer, MichaelSwiatkowski, Sean A.Bolte IV, John H.Hardy, Warren N.
Field-based Assessments of Various AIS2+ Head Risk Curves for Frontal Impact2015-01-14374/14/2015
In the present study, various risk curves for moderate-to-fatal head injury (AIS2+) were theoretically assessed by comparing model-based injury rates with field-based injury rates. This was accomplished by applying the risk curves in corresponding field models. The resulting injury rates were considered from two perspectives: aggregate (0-56 kph events) and point-estimate (higher-speed, barrier-like events). Four risk curves were studied: a HIC15-based curve from Mertz et al. (1997), a BRIC-based curve from Takhounts et al. (2011), a BrIC-based curve from Takhounts et al. (2013) and a Concussion-Correlate-based curve from Rowson et al. (2013). The field modeling pertained to adult drivers in 11-1 o'clock, towaway, full-engagement frontal crashes in the National Automotive Sampling System (NASS, calendar years = 1993-2012), and the model-year range of the passenger vehicles was 1985-2010. The attendant inhomogeneity of the restraint systems was approximated by four representative systems. Prior to the field modeling, base models were developed and validated to acceptable levels. Specifically, there were seven assessments of head-impact tests (avg PctDiff = 5.2%) and nine assessments of representative restraint-system models relative to fleet-wide tests (avg PctDiff = 5.0% relative to fleet medians). Subsequently, 36 comparisons were conducted via the field modeling relative to NASS (i.e., four curves and nine aggregate/point assessments). On average, the Concussion-Correlate-based curve demonstrated the best fidelity from the aggregate perspective (+7% difference), with the following rank ordering: Concussion Correlate, HIC15, BRIC, and BrIC. As for the point-estimate perspective, the HIC15 curve demonstrated the best fidelity (−26% difference), rank ordered as HIC15, Concussion Correlate, BRIC, and BrIC. The data underlying these results indicated that more study is needed to improve the fidelity of curve-based risk estimation.
Laituri, Tony R.El-Jawahri, Raed E.Henry, ScottSullivan, Kaye
Injury Distributions of Belted Drivers in Various Types of Frontal Impact2015-01-14904/14/2015
Injury distributions of belted drivers in 1998-2013 model-year light passenger cars/trucks in various types of real-world frontal crashes were studied. The basis of the analysis was field data from the National Automotive Sampling System (NASS). The studied variables were injury severity (n=2), occupant body region (n=8), and crash type (n=8). The two levels of injury were moderate-to-fatal (AIS2+) and serious-to-fatal (AIS3+). The eight body regions ranged from head/face to foot/ankle. The eight crash types were based on a previously-published Frontal Impact Taxonomy (FIT). The results of the study provided insights into the field data. For example, for the AIS2+ upper-body-injured drivers, (a) head and chest injury yield similar contributions, and (b) about 60% of all the upper-body injured drivers were from the combination of the Full-Engagement and Offset crashes. For the AIS2+ lower-body-injured drivers, (a) knee/thigh/hip and foot/ankle injury yield similar contributions, and (b) about 60% of all lower-body-injured drivers were from the combination of the Full-Engagement and Offset crashes. This analysis may help engineers inform their assessments of candidate countermeasures (e.g., quantification of real-world weighting factors for related optimization studies). Moreover, the analysis may help provide context for regulatory and public-domain considerations - both existing and proposed.
Laituri, Tony R.Henry, ScottSullivan, Kaye
Estimation of Body Mass Index Effect on Lower Extremity Injuries for Lateral Collision With-out Airbag2014-01-04894/1/2014
A comprehensive analysis was performed to evaluate the effect of BMI on different body region injuries for side impact. The accident data for this study was taken from the National Automotive Sampling System-Crashworthiness Data System (NASS-CDS). It was found that the mean BMI values for driver and front passengers increases over the years in the US. To study the effect of BMI, the range was divided into three groups: Thin (BMI<21), Normal (BMI 24-27) and Obese (BMI>30). Other important variables considered for this study were model year (MY1995-99 for old vehicles & MY2000-08 for newer vehicles), impact location (side-front F, side-center P & side-distributed Y) and direction of force (8-10 o'clock for nearside & 2-4 o'clock for far-side). Accident cases involving older occupants above 60 years was omitted in order to minimize the bone strength depreciation effect. Results of the present study indicated that the Model Year has influence on lower extremity injuries. Occurrence of pelvis injury was found to be influenced by BMI and was validated with logistic regression analysis. Apart from BMI, gender and age may have prominent effect on lower extremity injuries. Percentage of thorax injury and abdomen injuries appeared to be less for the thin people group (BMI<21), which has to be validated in the future by appropriate statistical methods.
Pal, ChinmoyOkabe, TomosaburoVimalathithan, KulothunganMuthanandam, MuthukumarManoharan, JeyabharathNarayanan, Satheesh
Development of Injury Probability Functions for the Flexible Pedestrian Legform Impactor2012-01-02774/16/2012
The goal of this study was to develop injury probability functions for the leg bending moment and MCL (Medial Collateral Ligament) elongation of the Flexible Pedestrian Legform Impactor (Flex-PLI) based on human response data available from the literature. Data for the leg bending moment at fracture in dynamic 3-point bending were geometrically scaled to an average male using the standard lengths obtained from the anthropometric study, based on which the dimensions of the Flex-PLI were determined. Both male and female data were included since there was no statistically significant difference in bone material property. Since the data included both right censored and uncensored data, the Weibull Survival Model was used to develop a human leg fracture probability function. As for the MCL failure, since one of the two data sources does not provide tabulated data, two MCL failure probability functions as a function of the knee bending angle developed using the Weibull Survival Model were averaged over the knee bending angle. The functions developed for the human leg fracture and the MCL failure were converted to those for the Flex-PLI using the results of the previous study that investigated the correlation between human and Flex-PLI injury measures using human and Flex-PLI finite element (FE) models and simplified vehicle models. 10% increase in failure tolerance due to muscle tone estimated from the literature was taken into account when converting the function for the MCL. Since the conversion of the MCL failure probability function was made using the correlation function between different human and Flex-PLI injury measures, the correlation between the different measures both for human was investigated for validating the conversion. The injury thresholds proposed for the Flex-PLI were evaluated in terms of equivalence to the current injury thresholds for the TRL legform specified in the global technical regulation (gtr) on pedestrian safety by developing an injury probability function for the tibia fracture measure used for the TRL legform. The results showed that the protection level provided by the currently proposed injury thresholds for the Flex-PLI is similar to that for the TRL legform in terms of injury probability.
Takahashi, YukouMatsuoka, FumioOkuyama, HiroyukiImaizumi, Iwao
Injury Predictors for Traumatic Axonal Injury in a Rodent Head Impact Acceleration Model2011-22-000211/7/2011
A modified Marmarou impact acceleration injury model was developed to study the kinematics of the rat head to quantify traumatic axonal injury (TAI) in the corpus callosum (CC) and brainstem pyramidal tract (Py), to determine injury predictors and to establish injury thresholds for severe TAI. Thirty-one anesthetized male Sprague-Dawley rats (392 ± 13 grams) were impacted using a modified impact acceleration injury device from 2.25 m and 1.25 m heights. Beta-amyloid precursor protein (β-APP) immunocytochemistry was used to assess and quantify axonal changes in CC and Py. Over 600 injury maps in CC and Py were constructed in the 31 impacted rats. TAI distribution along the rostro-caudal direction in CC and Py was determined. Linear and angular responses of the rat head were monitored and measured in vivo with an attached accelerometer and angular rate sensor, and were correlated to TAI data. Logistic regression analysis suggested that the occurrence of severe TAI in CC was best predicted by average linear acceleration, followed by power and time to surface righting. The combination of average linear acceleration and time to surface righting showed an improved predictive result. In Py, severe TAI was best predicted by time to surface righting, followed by peak and average angular velocity. When both CC and Py were combined, power was the best predictor, and the combined average linear acceleration and average angular velocity was also found to have good injury predictive ability. Receiver operator characteristic curves were used to assess the predictive power of individual and paired injury predictors. TAI tolerance curves were also proposed in this study.
Li, YanZhang, LiyingKallakuri, SrinivasuZhou, RunzhouCavanaugh, John M.
The Effect of Angle on the Chest Injury Outcome in Side Loading2009-22-001411/2/2009
Thoracic injury criteria and injury risk curves in side impact are based on impactor or sled tests, with rigid or padded surfaces while airbags are very common on current cars. Besides, the loading is generally pure lateral while real crashes or regulations can generate oblique loadings. Oblique tests were found in the literature, but no conclusion was drawn with regard to the effect of the direction on the injury outcome. In order to address these two limitations, a series of 17 side airbag tests were performed on Post Mortem Human Subjects (PMHS) at different severities and angles. The subjects were instrumented with accelerometers on the spine and strain gauges on the ribs. They were loaded by an unfolded airbag at different distances in pure lateral or 30 degrees forward. The airbag forces ranged from 1680 N to 6300 N, the injuries being up to 9 separated fractured ribs. This paper provides the test results in terms of physical parameters and injury outcome of the 17 subjects. Geometrical and physical characteristics of the subjects are described as well as the distribution of injuries as a function of test conditions. Then a statistical analysis is presented which gives the effect of the loading angle on the injury outcome. The results of this study provide useful data for the validation of finite element models in terms of injury prediction, as well as for the development of injury risk curves for side impact dummies.
Trosseille, XavierBaudrit, PascalLeport, TiphainePetitjean, AudreyPotier, PascalVallancien, Guy
Effectiveness of Side-Airbags for Front Struckside Belted Car Occupants in Lateral Impact Conditions - An In-Depth-Analysis by GIDAS 12007-01-11574/16/2007
Accident documentations on GIDAS (German In-Depth-Accident Study) from 1999 to 2005 are used for this study dealing with the effectiveness of the side airbag protection for car occupants. An analysis of real world accidents was carried out by ARU-MUH (Accident Research Unit - Medical University Hannover). The data were collected based on the spot documentation in time after an accident event. Based on the accident sampling process, the results of this study are representative for the German traffic accident situation. In order to determine the influence and the effectiveness of airbags, only those accident configurations with comparable conditions on impact direction are used for the study, therefore only cases with impact to the compartment, a delta-v-range 5 to 50 km/h and for struckside seated belted occupants were selected. The study describes the situation given by a statistical comparison of accident data with and without airbag deployment hampered by the problem of low case numbers by In-Depth-Investigations. The statistical comparison was not able to reach a clear result for the effectiveness of the side bag, therefore a second part of the study was carried out based on the methodology case by case analysis. Then the influence of the side bag on the detailed injury pattern suffered for documented cases could be established. Comparing cases with and without side bag, no AIS 3+ to head and chest could be found in the sample for occupants with side bag protection on one hand, the frequency of head and chest injuries was higher with airbag on the other hand. Based on the detailed reconstruction process, the vehicle movement as well as the kinematics of the occupant are determined and correlated to the performance depending on the side airbag position and effectiveness. The accident severity conditions (delta-V, intrusion measurements) have a significant influence on the injury incidence especially the direction of the shock momentum vector. The paper will show examples of cases where the side airbag were more and less effective and will demonstrate in which impact situations the side bag deployed and protected the nearside occupant.
Otte, DietmarHüfner, Tobias
The Role of Intrusion in Injury Causation in Frontal Crashes2005-01-13764/11/2005
In December 2003, fifteen participating Automobile Manufacturers announced the adoption of voluntary standards for geometric compatibility in frontal crashes. In an October 2003 report, Insurance Institute of Highway Safety (IIHS) estimated that an 8 to 28 percent fatality reduction might be achieved with better geometric and stiffness compatibility (O’Neill, 2003). This benefit was based on comparing the fatality risks of car occupants in car-to-car collisions and in car-to-SUV collisions. Reduced occupant compartment intrusion was cited as the principal advantage gained by compatibility improvements. However, the study did not actually examine the role that intrusion played in causing the fatalities. This study examines the magnitude of serious injuries in frontal crashes that could be addressed by reducing occupant compartment intrusion. Each frontal vehicle-to-vehicle case in William Lehman Injury Research Center (WLIRC) data was examined to determine the cause of each injury. The injury was attributed to intrusion when injury was caused by intruding components. The study examined the intrusion related injuries with variations in: the crash severity; the injury severity and the body region injured. The database contained 182 occupants with 339 unique AIS3+ injuries and 91 with MAIS 2+ lower limb injuries. 48% of the MAIS 3+ injuries and 68% of the MAIS 2+ lower limb injuries were associated with intrusion. It was found that intrusion injury percentage for belted occupants varied from 53% for AIS3+ injuries to 100% for AIS6 injuries while for unbelted occupants it varied from 46% for AIS3+ injuries to 21% for AIS6 injuries. Lower extremities AIS2 intrusion injuries were found to be 76% for belted occupants and 60% for unbelted occupants. AIS3+ intrusion injury percentage at different crash severities varied from 29% for deltaV under 20mph to 93% for deltaV over 35mph for belted occupants and from 18% for deltaV under 20mph to 68% for deltaV over 35mph for unbelted occupants. By improving geometric compatibility, injuries in lower severity crashes may increase due to the higher levels of acceleration caused by matching stiff structures. On the other hand, injuries in higher severity crashes would significantly decrease due to reduction in intrusion. There should be an overall benefit; however, belted occupant would realize this benefit more than unbelted occupants.
Augenstein, JeffreyPerdeck, ElanaMostafa, KhaledDigges, KennerlyBahouth, GeorgeMorgan, Richard
Below Knee Impact Responses using Cadaveric Specimens2004-22-000411/1/2004
Knee injuries represent about 10% of all injuries suffered during car crashes. Efforts to assess the injury risk to the posterior cruciate ligament (PCL) have been based on a study available in the literature (Viano et al., 1978), in which only two of the five knees tested had PCL ruptures. The aims of the current study were to repeat the study with a higher number of samples, study the effects of other soft tissues on knee response, and assess the adequacy of the experimental setup for the identification of a PCL tolerance. A total of 14 knees were tested using a high-speed materials testing machine. Eight were intact knees (with the patella and all the muscular and ligamentous structures), three were PCL-only knees (patella and all the muscular and ligamentous structures other than the PCL removed), and the last three were PCL-only knees with the tibia protected from bending fracture. Of the eight intact knees tested, only one had PCL mid substance rupture, one had a partial articular fracture of the tibia below the plateau, and six had simple transverse fracture of the tibial metaphysis. Of the three PCL-only knees without tibial protection, one had PCL mid substance rupture, one had avulsion at the posterior intercondylar attachment point, and the last one had a simple oblique fracture of the tibial metaphysis. Of the three PCL only knees with tibia protection, two had PCL mid-substance ruptures and the third one had an avulsion at the tibial insertion site with partial articular fracture of the lateral plateau. Overall, the results of the current study were similar to those observed by Viano et al. (1978). The average displacement at failure for all PCL related injuries was 17.2±2.8 mm for the current study (n=6) and 16.2±3.9 mm for Viano et al. (1978) (n=4). This value is higher than the Injury Assessment Reference Value of 15 mm proposed by Mertz (1984) and used in various regulations. Both studies suggest that the existence of the soft tissues other than the PCL affect the injury outcome and that the intact knee would suffer predominantly tibial metaphyseal fractures possibly due to bending. Consequently, it is concluded that the current experimental setup can produce isolated PCL injuries but the data available are inadequate to characterize PCL tolerance. A Hybrid III knee equipped with a ball bearing knee slider was also tested using a pendulum setup. Apart from the initial higher stiffness, the overall response of this knee lies within the force-deflection corridors defined using the response of the cadaver knees with PCL mid-substance failure.
Balasubramanian, SriramBeillas, PhilippeBelwadi, AdityaHardy, Warren N.Yang, King H.King, Albert I.Masuda, Mitsutoshi
Analysis of Rollover Injuries for 125 Occupants at a Single Trauma Center With Special Focus on Head and Neck Injury2004-01-03213/8/2004
Analysis of the National Automotive Sampling System (NASS) data reveals that vehicle rollover accidents account for a relatively a small number of accidents, but the associated frequency of serious injury is high compared to frontal or side impact. These data demonstrate the apparently elevated probability of head and neck injury during rollover, with head injury occurring more frequently, injured 4.5 times more frequently than the neck when considering all injuries. Automotive industry researchers have performed numerous rollover tests with instrumented ATD's and have predicted an elevated probability of neck injury with little chance of head injury. This contradicts field data (NASS-CDS) which suggests a high frequency of head injury with little chance of neck injury. This difference may be explained in part, through the different volumes of data presented in the literature. For example, while government accident statistics represent a sample of all accidents (∼ 5000 cases per year) occurring within the United States, individual car crash experimental reproductions represent a small proportion of car crashes. As such, it would be helpful to analyze 100% of cases from a given region(s) to aid in our understanding of rollover injuries. The objective of the current study was to thoroughly analyze 125 cases collected from a trauma one hospital to elucidate the head and the neck injury profile for rollover victims. The resulting data demonstrate the prevalence of head injury supporting the government accident data thus suggesting reconsideration of either current rollover accident experimental protocols or the biofidelity of the dummy in rollover. It should be noted, however, that removing relatively minor head and neck injuries (AIS 1 and 2) from the analysis shows that there is very little difference in the frequency of head and neck injury.
Pate, Biren J.Atkinson, Patrick JSadowski, Jason B.Fernandez, David J.
Foresight Vehicle: Using Accident Data to Develop Advanced Protection for Vulnerable Road Users (APVRU)2002-01-11223/4/2002
It is well known that certain road user groups, especially pedestrians and cyclists, are more vulnerable to fatal and serious injury than others. For example, in 1999, 32,552 road users were killed on EU roads, of which, 6,196 (19%) were pedestrians and 1,886 (6%) were cyclists. Safety systems designed to afford vulnerable road user groups greater protection require accident data in order to support and guide their development, and also to quantify their potential benefit. As part of a project developing a sensing system for cars capable of detecting, and reacting to, the presence of a vulnerable road user, accident data from the UK, Europe, and other international sources were employed to identify common accident and injury types. For example, international data sources showed that when considering pedestrian injuries greater than or equal to AIS 2 (AAAM, 1990) injuries, the main body regions injured were the legs, 36%, the head, 29%, the chest, 11%, and the abdomen or pelvis, 13%. Furthermore, for head injuries greater than or equal to AIS 2, the main injury contact points were identified as the windscreen glass, 44%, the top surface of the bonnet, 28%, and the windscreen frame or A-pillars, 18%. Approximately 62% of leg injuries were attributed to the front bumper, with 14% of femur injuries caused by the leading edge of the bonnet or wing. This information was important to identify the location of potential counter measures on the exterior of the vehicle. It was found that approximately 80% of fatal or serious pedestrian casualties in Great Britain occurred away from designated crossings, and that in approximately 15% of these cases, the pedestrian was obscured by parked cars prior to impact. Such information was important to determine a performance specification for the sensing technology.
McCarthy, M. G.
The Effects of Occupant and Vehicular Parameters on the Onset and Severity of Whiplash Associated Disorder from Low Speed Rear-End Collisions2002-01-05383/4/2002
The effects of Whiplash Associated Disorder (WAD) from low speed rear-end collisions (REC) have been reported in the medical, scientific and engineering literature for several decades. Given the method of analysis, results have varied regarding the nature, onset and severity of spinal injury. While previously conducted laboratory crash tests have advanced the understanding of occupant dynamics from RECs, concern over investigative methodology and experimental artificiality remains. The purpose of this study is to determine if any relationship existed between specific occupant characteristics, vehicular acceleration and the onset and severity of WAD. Ninety-five subjects involved in real world RECs are selected from an active database. Data is collected over an 18-month period. Fifty-nine subjects are females and 70% of the subjects are drivers. The subject's gender, age, height, weight, body mass index (BMI), vehicular acceleration (g), occupant seating position, level of restraint and impact duration is utilized as predictors for the onset and severity of WAD. Engineering analysis is conducted on each REC to determine the level of vehicular acceleration. A complete review of each subject's medical records is performed to confirm a diagnostic classification of WAD. Simulation of the mean height and weight of the male and female using actual crash pulse data is conducted using MADYMO (MAthematical DYnamic MOdel) [1]. A discriminant function analysis is performed, with occupant seating position as the only predictor variable that had significant discriminating power (P < 0.05). Interestingly, there are no statistically significant differences noted for BMI, gender, age, and level of restraint or vehicular acceleration. These findings also suggest that there is a need for further methodological refinement to distinguish the effects of WAD in RECs.
Wilkerson, James K.Hans, Steven A.Woodhouse, Michael L.Bawab, Sebastian Y.Cipriani, Alfred L.Bayan, FawziJackson, CharlesDowling, Elizabeth
SUMMARY OF IHRA PEDESTRIAN SAFETY WG ACTIVITIES – PROPOSED TEST METHODS TO EVALUATE PEDESTRIAN PROTECTION AFORDED BY PASSENGER CARS2001-06-01366/4/2001
The IHRA Pedestrian Working Group has conducted investigation and analysis on the current status of pedestrian accidents in the IHRA member countries. We collected the accident data that occurred by 1999, then unified the formats of the accident data and established a dataset that makes it possible to make comparison with each other. According to the current status of pedestrian accidents, three parts of the pedestrian’s body have the highest priority for protection, the child and adult heads, and the adult lower leg/knee. As for the motor vehicle, we determined which particular parts of the motor vehicle were involved, which pedestrian body parts they injured and the severity of the injuries, and analyzed the effect of their shapes, corresponding to the items above. It was decided that the test methods should be for motor vehicles for passenger use but not buses and coaches. The shapes of passenger cars were investigated and categorized by three groups, Sedan, SUV (Sport Utility Vehicle) and 1-Box (One Box Vehicle), so that the effects of these vehicle shapes could be studied with computer simulations. The simulations to date have focused on the head impact speed, head impact angle, head effective mass, and the Wrap Around Distance to the head impact point (WAD). We decided to adopt the sub-system methods and to establish specifications for impactors for each sub-system. That is, three subsystem test procedures (adult headform, child headform and legform impact tests) were proposed in high priority identified in the analysis of pedestrian accidents in the IHRA member countries. The pedestrian test procedures proposed and investigated by the experts of IHRA member countries may in the future provide a basis of technical regulations, however, it was recognized that considerable research and development was required to refine the test procedure. It was deemed necessary to conduct validation study of the test procedures through actual tests using sample vehicles and to explore the car feasibility level prior to the use of the test methods in legislation.
Mizuno, YoshiukiIshikawa, Hirotoshi
US and UK Field Rollover Characteristics2001-01-01673/5/2001
In this study, US and UK accident data were analyzed to identify parameters that may influence rollover propensity to analyze driver injury rate. The US data was obtained from the weighted National Automotive Sampling System (NASS-CDS), calendar years 1992 to 1996. The UK pre-roll data was obtained from the national STATS 19 database for 1996, while the injury information was collected from the Co-operative Crash Injury Study (CCIS) database. In the US and UK databases, rollovers accounted for about 10% of all crashes with known crash directions. In the US and UK databases, most rollovers occurred when the vehicle was either going straight ahead or turning. The propensity for a rollover was more than 3 times higher when going around a bend than a non-rollover. In the UK, 74% of rollovers occurred on clear days with no high winds and 14% on rainy days with no high winds. In the US, 83% of rollovers took place in non-adverse weather conditions and 10% with rain. In the US and the UK, more than 50% of rollovers happened during daylight. However, compared with non-rollover incidents, US and UK rollovers had a higher propensity to occur with sleet/fog or snow and in the dark without streetlights. In the UK, 76% of rollovers took place on roads with a speed limit of 50 mph (80 kph) and above, while in the US, the rate was 51%. In the US, drivers were most often distracted by people inside and outside their vehicle or when eating and/or drinking, and falling asleep. The results indicate that pre-rollover characteristics are somewhat similar in the US and in the UK. Rollovers were more likely to occur with sleet/fog or snow and in the dark than non-rollover crashes. Vehicles that were traveling straight on a highway or going around a curve were most likely to roll. In this study, the overall injury distribution was similar in US and UK drivers. For belted and unbelted drivers, serious injuries were most frequent in the head and in the thorax, emphasizing the need to provide protection in both these areas. The pre-rollover and injury information obtained in this study may thus be useful for the development of global preventive measures.
Parenteau, ChantalThomas, PeteLenarda, James
Shoulder Response Characteristics and Injury Due to Lateral Glenohumeral Joint Impacts2000-01-SC1811/1/2000
The objective of this study was to determine response characteristics and injury of the shoulder due to lateral impacts. The need for this data was heightened in the 1990s with increasing interest in harmonization of side impact standards, and questions regarding the measurement capabilities of dummies used in evaluating side impacts. A pneumatic impacting ram was employed in carrying out twenty-two lateral impacts to eleven unembalmed human cadavers at the level of the glenohumeral joint. Velocity of the ram at the time of impact was varied throughout the impacts from 3.5 to 7.0 m/sec, in an attempt to determine injury threshold. The cadavers were instrumented with tri-axial accelerometer blocks at ten locations in the shoulder region. Bony structures instrumented included the sternum, the first thoracic vertebra (T1), clavicles and scapulae. Output from the accelerometers was utilized to calculate impact forces and to examine the movement of the instrumented structures. Photographic target pins were inserted into the accelerometer blocks, thus permitting image analysis of the shoulder girdle displacement. Autopsies, radiographs, and magnetic resonance images (MRIs) were performed to document trauma that occurred as a result of the impact to the shoulder. Clavicles from the cadavers were subjected to bone density scans and three-point bending tests. Results from these evaluations were used to assess and compare properties of bones of the upper extremities. Observations from autopsy, MRI, and radiography have shown looseness of the sternoclavicular joint and fracture of the distal clavicle to be the most common injuries. Significant findings include normalized shoulder force-deflection curves and probability of injury distribution.
Bolte, John H.Hines, Margaret H.
Review of the Air Bag Effectiveness in Real Life Accidents Demands - for Positioning and Optimal Deployment of Air Bag Systems95270111/1/1995
In Europe there is less experience with air bag deployments in accidents than the US-scene. Within the continuing in-depth investigations at the Medical University Hannover 41 accidents with air bag deployments could be documented. A detailed description of selected accidents is given in the study. The injuries of the occupants are described and the injury mechanisms caused by the air bag deployment are discussed. In the study the distribution of injury severities are compared for accidents with seat belt system only correlating to those with air bag additionally. The air bag fitted cases demonstrate that the protective effect was essentually based on using the seat belt. Especially for less load level some injuries occured which can called as airbag specific injuries. These are some haematoma in the thorax and face region als well as burn injuries, but a higher risk for distorsions of the cervical spine AIS 1 could be seen. These results lead to the supposition that in case of air bag - seat belt systems the current level of deployment is too low. It is the proposal of the study to use the effectiveness of the seat belt system only up to delta-v 35 or 40 km/h and the air bag effectiveness should be aimed at above this delta-v level. The benefit of an air bag could be established with higher delta-v. A second part of the study quantifies the benefit of an airbag for frontal and lateral collisions.
Otte, D.
The Relationship Between Delta V and Injury93311111/1/1993
This paper has utilized a specially created subset of the data contained within the National Accident Sampling Study (NASS) for an updated and expanded analysis of the relationship between Delta V and injury. The data presented embrace over 20,000 accidents of passenger cars, light trucks and utility vehicles involved in accidents between 1980 and 1991. These unique accidents have been extracted from the massive amount of available information contained within the NASS data in order that the variables which have the greatest information content for our subject can be studied and analyzed. Some of the variables which were extracted and studied include Delta V, Principle Direction of Force, restraint system type and use, injuries, vehicle weight and type as well as the occupant variables of age and sex which are believed to influence human tolerance to injury. The relationships between Delta V and the AIS levels for general body regions such as the head and chest as well as some specific injuries which can be extracted from the NASS data such as brain concussion and fractures of the ribs and cervical vertebrae have been identified. In addition internal injuries such as lacerations to the liver are also analyzed and their relationship to the change in velocity of the occupant compartment developed. The data support the appropriateness of some of the human tolerance limits which are currently incorporated in the FMVSS standards relating to occupant protection.
Roberts, Verne L.Compton, Charles P.
Computer Simulation of Impact Response of the Human Knee Joint in Car-Pedestrian Accidents92252511/1/1992
A 3D pedestrian knee joint model was developed as a first step in a new description of the whole pedestrian body for computer simulations. The model was made to achieve better correlation with the results from previous tests with biological material. The model of the knee joint includes the articular surfaces, ligaments and capsule represented by the ellipsoid and plane elements as well as the spring-damping elements, respectively. The mechanical properties of the knee joint were based on available biomechanical data. To verify the new developed model with results from tests with biological material previously performed at the Department of Injury Prevention, Chalmers University of Technology, the computer simulations were carried out with the model of the knee joint using the MADYMO 3D program. To simulate different test conditions, which correspond to previous tests with biomechanical system, the following parameters were varied in our simulations: bumper height and bumper compliance. Four computer simulations were performed and compared with four test series with biological material with five tests in each series. The impact force, the condyle interface forces, the ligament forces and the ligament relative elongations were calculated and verified with the results of the tests with biological material. The output parameters calculated from the knee joint model correspond in general to what was observed in the studies with biological material. Complementary two computer simulations were performed to study the influence of the upper body mass to the distribution of the forces in the simulated knee structures. These simulations appear that body mass has an influence on the impact and condyle forces, the ligament strain and on the trajectory of the lower extremities.
Yang, JikuangKajzer, Janusz
A sample of 31 real world side-impact chrashes was selected for detailed analysis of the thoracic injuries observed in near-side occupants. The occupant kinematic data used in this study was based on the results from investigations carried out in the context of EEC programs on biomechanics. A clinical data base was established, and detection of the actual sites of contusive hemorrhage in the lungs of trauma patients allows informed speculation on the relative contribution of pathodynamic mechanisms in various types of blunt chest trauma. It was found that the injury mechanisms of visceral injuries are not the same in real accidents and in cadaver experiments. To give much confidence on cadaver data for the development of side impact dummies may result in misleading conclusions.
Carȇme, Ludo M. M.
How and When Blunt Injury Occurs — Implications to Frontal and Side Impact Protection88171410/1/1988
The timing of liver laceration in swine during the course of a blunt impact was investigated. The swine were impacted on the upper abdomen by the lower segment of a steering wheel at 6, 9 and 12 m/s. The degree of compression in each impact was controlled independently from 10 to 50%. By varying when “the punch of an impact was pulled,” we reproduced progressive segments of a longer duration blunt impact. Autopsy of the subjects demonstrated that lacerations were initiated after 8 ms of loading at 9 m/s and 6 ms of loading at 12 m/s. The time of injury was concurrent with the time when the Viscous response exceeded a threshold of 1.2 m/s in our specimens. The Viscous injury criterion, defined as the peak Viscous response, was found to be the best predictor of liver laceration. We conclude that the Viscous response relates to the actual etiology of injury, in addition to being an excellent correlative measure. Our deduction of the timing of injury occurrence was confirmed by an analysis of published cadaver data where skeletal injuries can be observed. Field data of occupant injury in a side impact were re-examined in light of these findings to determine the optimal side impact protection. We found evidence that injury from both a high speed impact and from slower crushing is possible in a side crash. Our computer simulations also suggest that an anthropomorphic test device (ATD) with human-like compliance is necessary if laboratory test results are to reflect field performance.
Lau, Ian V.Viano, David C.
Case reviews are given of deployment accidents of the GM 1973-76 air cushion restraint system where the occupant injury was AIS 3 or greater. Many of these injuries occurred in frontal accidents of minor to moderate collision severity where there was no intrusion or distortion of the occupant compartment. Dummy and animal test results are noted that indicate that these types of injuries could have occurred if the occupant was near the air cushion module at the time of cushion deployment. An analysis is given that indicates that for frontal accidents a restraint effectiveness of 50 percent in mitigating AIS 3 or greater injuries might be achieved if an air cushion system can be designed which would not seriously injure out-of-position occupants while still providing restraint for normally seated occupants.
Mertz, Harold J.
An understanding of the injuries of the lower limb requires a knowledge of the terminology describing the injuries. To understand injuries one should also appreciate how injured tissue recovers. This paper summarizes the terminology of lower limb injuries. It also explains the basic concepts of injury healing and the classification of injuries.
Levine, Robert S.
The evolution of in-depth research studies in Europe is reviewed, with particular emphasis on work in Britain since the early 1960's. The catalytic role of the NATO-CCMS programme in establishing in-depth teams in a number of countries and in developing common methodologies, notably in crash and injury severity, is outlined. The methodology of in-depth studies currently being conducted at the Accident Research Units at Birmingham University and at the Institute for Consumer Ergonomics at Loughborough is outlined and some observations are made on data collection techniques, analysis and project management.
Mackay, G. M.Ashton, S. J.Galer, M. D.Thomas, P. D.
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