title: Microstructural insight into pedestrian pelvic fracture as assessed by high-resolution computed tomography.
abstract: Pelvic and femoral neck bone surface strains were recorded in five full-body human cadaver vehicle-pedestrian impacts. Impacts were performed at 40 km/h using automotive front ends constructed to represent those used in previously reported finite element simulations. While experimental kinematics and bone strains closely matched model predictions, observed pelvic fractures did not consistently agree with the model, and could not be solely explained by vehicle geometry. In an attempt to reconcile injury outcome with factors apart from vehicle design, a proxy measure of subject skeletal health was assessed by high-resolution quantitative computed tomography (HRqCT) of the femoral neck. The incidence of hip/pelvis fracture was found to be consistent with low volumetric bone mineral density and low trabecular bone density. This finding lends quantitative support to the notion that healthy trabecular architecture is crucial in withstanding non-physiological impact loads. Furthermore, it is recommended that injury criteria used to assess vehicle safety with regard to pedestrians consider the increased susceptibility of elderly victims to pelvic fracture.
authors.affiliation: Institute for Biomedical Engineering, Swiss Federal Institute of Technology (ETH), University of Zürich, Zürich, Switzerland. snedeker@biomed.ee.ethz.ch
authors.forename: J G
authors.initials: JG
authors.lastname: Snedeker
authors.forename: F H
authors.initials: FH
authors.lastname: Walz
authors.forename: M H
authors.initials: MH
authors.lastname: Muser
authors.forename: G
authors.initials: G
authors.lastname: Schroeder
authors.forename: T L
authors.initials: TL
authors.lastname: Mueller
authors.forename: R
authors.initials: R
authors.lastname: Müller
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D000368:Aged; D001696:Biomechanical Phenomena; D015519:Bone Density; D002102:Cadaver; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000209:etiology; D005272:Femur Neck / Q000737:chemistry / Q000473:pathology / Q000503:physiopathology; D005360:Fibula / Q000737:chemistry / Q000473:pathology / Q000503:physiopathology; D020342:Finite Element Analysis; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010384:Pelvic Bones / Q000293:injuries* / Q000503:physiopathology; D011630:Pubic Bone / Q000293:injuries / Q000503:physiopathology; D013314:Stress, Mechanical; D013978:Tibial Fractures / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014741:Video Recording