[Mechanism of pelvic girdle injuries in street traffic. Medical-technical accident analysis].
During 1985 and 1993, 7,410 persons were injured in traffic accidents in the area of Hanover. Of these, 306 (4.1%) sustained a pelvic girdle injury. In 139 cases (45%), the pelvic girdle injuries were further classified (Pennal and Tile) and a technical reconstruction of the accident situation was performed. 52% were type A, 27% type B and 21% type C injuries. Some 47% of the casualties were vehicle occupants, 31% pedestrians, 12% motorcyclists and 10% cyclists. In restrained vehicle occupants pelvic girdle injuries occurred mostly in accidents with a delta-v of more than 30 km/h, whereas in unrestrained vehicle occupants, pedestrians and cyclists they also occurred with lower delta-v or collision speed. The percentage of type B and C injuries increased with higher velocities. In addition to further improvements in passive safety, lower collision speed or delta-v is necessary to reduce or prevent pelvic girdle injuries. The reconstruction of pelvic girdle injury mechanism in traffic accidents is possible, when both technical and medical parameters are considered.
Pohlemann
T
T
Unfallchirurgische Klinik, Medizinische Hochschule Hannover.
Richter
M
M
Otte
D
D
Gänsslen
A
A
Bartram
H
H
Tscherne
H
H
D000054:Acceleration; D000063:Accidents, Traffic / Q000145:classification / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D005260:Female; D050723:Fractures, Bone / Q000145:classification / Q000453:epidemiology / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000145:classification / Q000453:epidemiology / Q000209:etiology; D010384:Pelvic Bones / Q000293:injuries*; D012307:Risk Factors; D012622:Seat Belts / Q000706:statistics & numerical data
Die Entstehung von Beckenringverletzungen im Strassenverkehr. Medizinisch-technische Unfallanalyse.