Patterns of abdominal injuries in frontal and side impacts.
Public awareness for safety and vehicle improvements has contributed to significant reduction in injuries secondary to motor vehicle crashes. The spectrum of trauma has shifted from one region of the body to another with varying consequences. For example, airbags have minimized head and neck injuries for adults while emphasizing the lower regions of the human body. Studies have concentrated on the changing patterns of these injuries in frontal impacts. However, there is almost a paucity of data with regard to the characterization of abdominal injuries. Consequently, this study was conducted to determine the patterns of abdominal injuries in frontal and side impacts with an emphasis on more recent crashes. In particular, the frequency and severity of trauma were investigated with a focus on the various abdominal organs (e.g., spleen and liver). Results indicate that side crashes contribute to a large percentage of injuries to the abdomen. The liver and spleen organs are most vulnerable; therefore, it may be beneficial to apply concerted efforts to focus on injury biomechanics research and prioritization activities in these areas of the abdomen. These data may be of benefit to develop anthropomorphic dummies with improved biofidelity.
Yoganandan
N
N
Department of Neurosurgery, Medical College of Wisconsin, Department of Veterans Affairs Medical Center, Milwaukee, WI, USA.
Pintar
F A
FA
Gennarelli
T A
TA
Maltese
M R
MR
D000007:Abdominal Injuries / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control; D000063:Accidents, Traffic / Q000706:statistics & numerical data*; D000328:Adult; D017278:Air Bags / Q000009:adverse effects / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D006801:Humans; D008099:Liver / Q000293:injuries; D012307:Risk Factors; D013154:Spleen / Q000293:injuries; D014481:United States / Q000453:epidemiology; D014949:Wounds, Nonpenetrating / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control